| NPI | 1598923443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE STORMONT-SMITH President Owner 765-448-1758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2008-05-28 |