| NPI | 1609533256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH WALLACE Speech Language Pathologist 812-596-0047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 2355S0801X Specialist/Technologist Speech-Language Assistant | |
| 251E00000X Home Health | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 261QH0700X Clinic/Center Hearing and Speech | |
| 261QP2000X Clinic/Center Physical Therapy | |
| Enumeration Date | 2021-11-18 |
| Last Update Date | 2024-09-12 |