| NPI | 1073971438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP RAWLEY CEO 812-477-1558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2019-08-19 |