| NPI | 1184757304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAQUEL RAVINET Director Of Operations 317-872-4166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |