| NPI | 1124612106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY ROBINSON President 317-559-2673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2021-02-22 |