| NPI | 1700907235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE RAYMUNDO SORIO CATRAL Managing Member 574-250-0162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05004243A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05003862A) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2009-02-26 |