| NPI | 1023743614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN ERNY Signer For Group 812-473-0181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2023-06-26 |