| NPI | 1295171551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRANT WILLIAM FOLEY Owner 317-908-7307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 53000124A) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2013-05-14 |