| NPI | 1982607495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON C DIETZ Physical Therapist/President 317-201-3754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: IN 05002030A) |
| Enumeration Date | 2005-05-30 |
| Last Update Date | 2020-08-22 |