| NPI | 1346443520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN RALPH RIBAUDO President 574-252-5852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01034333) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-12-21 |