| NPI | 1881013985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA RODGERS RODGERS Owner 812-314-2378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 46002579A) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2014-04-16 |