| NPI | 1205958436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A. MCKENZIE Vice President 317-862-9923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05000535A) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |