| NPI | 1780768929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT B TAYLOR Owner 765-521-1594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01041429) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2008-05-30 |