| NPI | 1457870867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W JOHNSON Owner 812-425-2662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2020-11-05 |