| NPI | 1326210667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL C FIENHAGE Director 765-717-1903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31002888A) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: IN 32001294A) |
| 225X00000X Occupational Therapist (Licence: IN 31004221A) | |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |