| NPI | 1407442486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN COUCH Chief Executive Officer 765-532-3771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2025-07-30 |