| NPI | 1346894078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE BOYLL Business Manager 317-914-3176 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2026-05-29 |