| NPI | 1962528463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA BILINSKI Administrator 812-471-8630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 111NR0400X |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |