| NPI | 1083714505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED MOTAWEA Adminstrator 260-492-6197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: IN 05004444A) |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2020-08-22 |