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