| NPI | 1811011521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD A GRAHAM Owner 574-247-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN 50003415A) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2010-06-22 |