| NPI | 1467634584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY R POWELL President 765-675-8733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01053633) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01053633) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2008-08-27 |