| NPI | 1588710602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA J GREGORY President 317-718-0089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: IN 53000049A) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: IN 53000049A) |
| 235Z00000X Speech-Language Pathologist, (Licence: IN 53000049A) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2011-09-29 |