| NPI | 1386228773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLY R SULLIVAN CEO/ Doctor Of Physical Therapy 765-398-4030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2021-05-11 |