| NPI | 1225457450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK SHAFER C.F.O. / V.P. 765-288-1928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225X00000X Occupational Therapist | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2016-07-20 |