| NPI | 1821688607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN H WOOD Owner 812-402-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2022-08-16 |