NPI | 1932609732 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGIE GRAFF Insurance & Credentialing Manager 317-376-8336 |
Organization Subpart ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist |
Additional Taxonomies | 225100000X Physical Therapist |
2251P0200X Physical Therapist, Pediatrics | |
225XP0200X Occupational Therapist, Pediatrics | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2018-02-19 |
Last Update Date | 2018-10-17 |