| NPI | 1982379095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA L. BAUMANN Authorized Official 812-759-7473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2021-08-11 |