NPI | 1093909640 |
---|---|
Entity Type | Organization |
Authorized Contact | SHELLEY PREOCANIN Practice Operations Manager 812-754-1900 |
Organization Subpart ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
Enumeration Date | 2007-08-28 |
Last Update Date | 2007-09-20 |