| NPI | 1669931960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE KING President 317-418-2664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2019-03-16 |
| Last Update Date | 2022-10-08 |