| NPI | 1366571440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL G CRABB President 317-844-4825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: IN 01030209) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2010-07-15 |