| NPI | 1710040803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE SUE STORMONT-SMITH Owner President 765-448-1758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 252Y00000X Early Intervention Provider Agency | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2012-01-10 |