| 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 |