| NPI | 1063623924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA R VENDITTI Co Owner 812-204-8871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05006974A) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2011-09-16 |