NPI | 1821688607 |
---|---|
Entity Type | Organization |
Authorized Contact | RYAN H WOOD Owner 812-402-0444 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
225X00000X Occupational Therapist | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2021-01-25 |
Last Update Date | 2025-03-20 |