| NPI | 1871718627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ALISON REED Physical Therapist 317-328-0184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05002507A) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2008-06-16 |