NPI | 1548358757 |
---|---|
Entity Type | Organization |
Authorized Contact | FELOMENO RAMOS DIAZ President 812-475-0864 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05003390A) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 31001488A) |
225X00000X Occupational Therapist (Licence: KY KYR1009) | |
Enumeration Date | 2006-10-11 |
Last Update Date | 2020-08-22 |