| NPI | 1023253861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY J TOLLE President 317-683-1970 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2011-01-14 |