| NPI | 1356521538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHN SPENCE Member 574-520-3489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01062328A) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2007-11-06 |