| NPI | 1629492632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADONIAH MAVURA MUKONA President & Owner 317-332-9552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IN 53000125A) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2014-12-31 |