| NPI | 1538166988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | K DONALD SHELBOURNE President 317-924-8636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: IN 01027165A) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2012-04-18 |