| NPI | 1245096072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPENCER C TEETER General Manager 317-827-6833 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2024-02-28 |