| NPI | 1447786744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA GREGORY Founder 317-432-1943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: IN 05003460A) |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2023-09-07 |