| NPI | 1639269004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA NINNA SOLITO Physiatrist 317-566-3422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: IN 01051472) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2008-07-18 |