| NPI | 1033503750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DOUGLAS SIMMONS President 812-801-1362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IN 05002822A) |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-04-25 |