| NPI | 1033295472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA S MANGAN CEO 219-983-9675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31003944A) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: IN 32001204A) |
| 225100000X Physical Therapist (Licence: IN 05008714A) | |
| 225200000X Physical Therapy Assistant (Licence: IN 06003228A) | |
| 235Z00000X Speech-Language Pathologist (Licence: IN 22003689A) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2008-04-30 |