| NPI | 1205900313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN THOMAS WHITE President 260-244-5133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 225100000X) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2015-09-30 |