| NPI | 1255364758 |
|---|---|
| Doing Business As | NA |
| Entity Type | Organization |
| Authorized Contact | MARIE EUGENE GARCIA Physical Therapist 317-388-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-08-22 |