| NPI | 1063805042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN T EVANS Physical Therapist/Owner 260-570-8239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: IN 05011654A) |
| Enumeration Date | 2015-03-14 |
| Last Update Date | 2020-06-01 |