| NPI | 1144413287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE RENEE MCCONNELL HOLTZ Owner 812-477-5003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IN 05005845A) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-10-24 |