| NPI | 1578987152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY MIMMS President/Owner 317-450-2113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01059908) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2018-07-30 |