| NPI | 1114046711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY ADAMS Owner President 765-584-3665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05001458A) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |