| NPI | 1366609166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON BERTY President 317-288-7606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2022-11-11 |