| NPI | 1801480223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA L. BAUMANN COO 812-759-7473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2021-10-22 |