| NPI | 1528149705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E. GILDERSLEEVE Chairman Of The Board 765-747-3365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2008-09-24 |