NPI | 1043255094 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTY KAY SHOWLEY Physical Therapist 574-941-2200 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization |
Enumeration Date | 2006-06-16 |
Last Update Date | 2020-08-22 |