| NPI | 1639218910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR D PRATER President 219-756-4695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: IN 32000255A) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |