| NPI | 1619191210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA H WEINSTEIN PT A 574-753-4063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IN 06000392A) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |