| NPI | 1407902679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLINA HERNANDEZ ANOG-NOBLE Owner 574-225-0682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 5004043A) |
| Enumeration Date | 2007-01-28 |
| Last Update Date | 2007-08-20 |