| NPI | 1770853855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH WILLIAM BERGERON President 812-238-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01044440A) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IN 01044440A) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2023-03-07 |