| NPI | 1588721005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALLEN ANZELMO Owner 260-668-7752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05003680A) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |