| NPI | 1225585805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W JOHNSON Owner 812-425-2662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2020-11-05 |