| NPI | 1205098100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISA S CANAVATI President 260-436-2416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 1041C0700X Social Worker, Clinical | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2018-12-07 |