| NPI | 1891846283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OTIS DEE ORR III Physician President 260-484-9321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IN 07000302A) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08000376A) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2009-01-28 |