| NPI | 1780350694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH MITSCHELEN Member 317-340-3754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XE0001X Occupational Therapist, Environmental Modification |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2021-08-19 |