| NPI | 1184166266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI SMITH Manager 317-881-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IN 06005396A) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |