| 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 |