| NPI | 1144405465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARREN P GEBHARDT Owner 317-750-6018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: IN 02003217A) |
| Enumeration Date | 2008-01-05 |
| Last Update Date | 2011-03-03 |