| NPI | 1639417744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN CASPER CEO 812-301-2088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X (Licence: IN 08002654A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05011354A) |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2021-05-18 |