NPI | 1265800288 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREA L. BAUMANN COO 812-759-7473 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Additional Taxonomies | 225100000X Physical Therapist |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2015-09-08 |
Last Update Date | 2023-01-18 |