| NPI | 1124381041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE P. BERRY Owner/Provider 260-385-2130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31000293A) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-06-18 |