| NPI | 1023233137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA S CADY Controller 812-842-4263 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: IN 05008176A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 11-002855-1) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2011-06-20 |