| NPI | 1548682537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME A JOHANNES President 812-972-7724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05003469A) |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2014-01-10 |