NPI | 1447405386 |
---|---|
Doing Business As | GRAEME VAN MATRE DC |
Entity Type | Organization |
Authorized Contact | GRAEME GUY VAN MATRE President 317-496-3624 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: IN 08001960A) |
Enumeration Date | 2008-11-19 |
Last Update Date | 2009-07-28 |