| NPI | 1538394424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISHA PHELPS Owner 270-685-9499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: IN 31001124A) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2022-05-11 |