NPI | 1043296510 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON D HAZELETT President 260-497-7191 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2005-12-16 |
Last Update Date | 2023-06-07 |