NPI | 1306244231 |
---|---|
Entity Type | Organization |
Authorized Contact | DRU NICHOLE BISHOP Credentialing Specialist 260-432-4700 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
Enumeration Date | 2014-12-09 |
Last Update Date | 2025-01-14 |