NPI | 1508538810 |
---|---|
Entity Type | Organization |
Authorized Contact | MISTY D BEAUDRY-ZOBEL Reimbursement 317-204-3736 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist |
235Z00000X Speech-Language Pathologist | |
261QR0400X Clinic/Center Rehabilitation | |
Enumeration Date | 2021-10-05 |
Last Update Date | 2023-04-24 |