| NPI | 1972765386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA L. BAUMANN COO 812-759-7473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: KY 101107) |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2023-01-18 |