| NPI | 1760796478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN EDWARD LAFREE Owner 877-485-3394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 53000121A) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 53000121A) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2010-08-05 |