| NPI | 1225744188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN J LEFEVERS CEO 317-910-9708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2023-11-01 |