| NPI | 1710863691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS JOSEPH MCDONALD Physical Therapist/Clinical Manager 574-229-4003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2025-08-14 |
| Last Update Date | 2025-08-14 |