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 |