| NPI | 1255929691 |
|---|---|
| Other Name | PROACTIVE PHYSICAL THERAPY AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | BRANDON EVANS Owner 812-406-6854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2020-12-31 |
| Last Update Date | 2024-01-05 |