| NPI | 1699482448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE KOZAK Occupational Therapist 574-361-7304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2022-12-09 |