| NPI | 1912268285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT CHARLES FISCHER Owner 765-593-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225100000X Physical Therapist | |
| 2251E1300X Physical Therapist, Electrophysiology, Clinical | |
| 2251S0007X Physical Therapist, Sports | |
| 225200000X Physical Therapy Assistant | |
| 225800000X Recreation Therapist | |
| 225X00000X Occupational Therapist | |
| 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2012-06-04 |