| NPI | 1407943665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATIA L KORTEPETER Speech Language Pathologist 317-828-2506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22003106) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2020-08-22 |