| NPI | 1588791032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M. PIERSON Director Co Owner 812-738-3616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05001213A) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |