| NPI | 1376865071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY BLANTON Executive Director 812-424-9291 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2026-01-08 |