| NPI | 1114039922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY JOE TOLLE President/Owner 317-522-2303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-05-23 |