| NPI | 1487675484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA ANN HARRIS President 317-691-6486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05005045A) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |