| NPI | 1578563417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN EDWARD LAFREE Owner/Physical Therapist 574-941-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05004435A) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2013-06-21 |