| NPI | 1477957975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MARIE TIPPMANN Physical Therapist 260-715-0986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT27423) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2014-10-14 |