| NPI | 1609554674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDLER NELSON Owner/Physical Therapist 574-870-6838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-07-10 |