| NPI | 1487713269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARI A MASON Owner Provider 260-497-0328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22003959A) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22003349A) |
| 174400000X Specialist (Licence: IN 310002939A) | |
| 235Z00000X Speech-Language Pathologist, (Licence: IN 22002279A) | |
| 235Z00000X Speech-Language Pathologist, (Licence: IN 22002999A) | |
| 225100000X Physical Therapist (Licence: IN 05006769A) | |
| 235Z00000X Speech-Language Pathologist, (Licence: IN 22002907A) | |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2008-06-19 |