| NPI | 1689978710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY TOLLE CEO 317-683-1970 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111NR0400X |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2011-01-04 |