| NPI | 1073404703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA RIDDELL Controller 317-217-8601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2025-07-11 |
| Last Update Date | 2026-01-19 |