| NPI | 1639266877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE MARIE FOLEY Director 317-573-4445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225000000X Orthotic Fitter |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics |
| 225XP0200X Occupational Therapist Pediatrics | |
| 231H00000X Audiologist | |
| 231HA2400X Audiologist Assistive Technology Practitioner | |
| 235Z00000X Speech-Language Pathologist | |
| 237600000X Audiologist-Hearing Aid Fitter | |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2020-08-22 |