| NPI | 1295375483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY CATHLEEN MADANGUIT CEO/Owner 812-498-8412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-05-08 |