NPI | 1841458999 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICK G COCKRUM CEO 317-745-4715 |
Organization Subpart ? | No |
Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2008-05-27 |
Last Update Date | 2008-05-27 |