NPI | 1245369388 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD W RADUENZEL Owner President 219-757-5241 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist |
235Z00000X Speech-Language Pathologist | |
Enumeration Date | 2007-03-05 |
Last Update Date | 2020-08-22 |