| NPI | 1457861361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY MARIE FRITZ Owner/CEO/Occupational Therapist 317-753-6962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31004103A) |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |