| NPI | 1285470864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN CARNIELLO Physical Therapist, Owner 219-576-2980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2024-07-25 |