| NPI | 1881630739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN EDWARD POELING President 812-473-4011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2008-11-20 |