| NPI | 1023164423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA LOU MACIEJEWSKI Owner 260-471-6074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IN 05004289A) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |