| NPI | 1255732459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS LEEUW Founder 317-525-8386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2023-03-30 |