| NPI | 1346563186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVY KERNS Member/ Physical Therapist 812-887-9484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05007933A) |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2010-06-07 |