NPI | 1508034315 |
---|---|
Entity Type | Organization |
Authorized Contact | GLENDA M BROWN PT 574-255-1712 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05003216) |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2008-02-14 |
Last Update Date | 2008-02-14 |