| NPI | 1174193965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE GRAFF Contracting & Credentialing Manager 317-376-8336 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251P0200X Physical Therapist Pediatrics | |
| 225XP0200X Occupational Therapist Pediatrics | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2023-08-30 |