| NPI | 1619983947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER DAWSON Director Of Billing 765-446-5417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2025-07-17 |