NPI | 1104688696 |
---|---|
Entity Type | Organization |
Authorized Contact | JEAN F BROOKS COO 317-788-2500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
235Z00000X Speech-Language Pathologist | |
Enumeration Date | 2024-01-29 |
Last Update Date | 2024-01-29 |