| NPI | 1689600801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHENIN KAE CHESTNUT Member 317-542-7680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 261QR0400X Clinic/Center, Rehabilitation (Licence: IN 31003306A) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-08-22 |