| NPI | 1790854040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLENE M. CANTRELL President 219-794-0029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IN 05001346A) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2010-03-23 |