| NPI | 1356881155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANNE M LAFUZE President 317-322-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 0500625A) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-02-28 |