| NPI | 1487711107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY E WANINGER CFO 812-897-4840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2025-09-11 |