| NPI | 1447654447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA VANDERWOUDE Physical Therapist 219-730-1153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05004131A) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22004212A) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2014-10-20 |