| NPI | 1831740117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MARIE TIPPMANN Doctor Of Physical Therapy 260-431-8198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-09-26 |