| NPI | 1912074659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN GENE DREW President 574-252-4150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IN 01042863) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2022-11-03 |