| NPI | 1427429307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHAWNDA DEL BODDIE Owner/Therapist 812-327-0992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TN 8958) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: IN 05008081A) |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: KY 004786) | |
| Enumeration Date | 2015-10-17 |
| Last Update Date | 2015-10-17 |