| NPI | 1942642244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL A ANZALDUA President 317-660-1379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2013-07-27 |
| Last Update Date | 2013-07-27 |