| NPI | 1598708109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY FACTORA Owner 812-332-7529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05004408A) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 31003809A) |
| 235Z00000X Speech-Language Pathologist, (Licence: IN 22002743A) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2023-02-22 |