| NPI | 1063612257 |
|---|---|
| Other Name | ISU PHYSICAL THERAPY AND REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | FRED LUSTER Interim PT Director 812-237-9613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05010420A) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: IN 05009329A) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2017-04-11 |