NPI | 1780254573 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGIE GRAFF Contracting & Credentialing Manager 317-376-8336 |
Organization Subpart ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
225XP0200X Occupational Therapist, Pediatrics | |
235Z00000X Speech-Language Pathologist, | |
225100000X Physical Therapist | |
Enumeration Date | 2021-06-25 |
Last Update Date | 2021-06-25 |