| NPI | 1639389067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA FILIPINA MARIANO PANTIG Physical Therapist 574-273-1442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05003203A) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |