| NPI | 1245602267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAIN D MEJIA Physical Therapist 574-952-1457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05011411A) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |