| NPI | 1114706728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLENE HERNANDEZ Physical Therapist 317-691-2936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2023-09-22 |