| NPI | 1871869917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL ROSE STREET Audiologist 317-415-9265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283X00000X Rehabilitation Hospital (Licence: IN 23002486A) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-03-22 |