| NPI | 1639657463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATISHA WILLIAMS Owner, Physical Therapist 317-721-8079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2018-09-26 |