| NPI | 1366748436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J DUNHAM Owner 317-253-1644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X (Licence: IN 08001746A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05010034A) |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2011-02-07 |