| NPI | 1780133736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC DUERDEN Director 317-371-3343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01041371A) |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2016-09-30 |