| NPI | 1982765665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOVITO T JORDAN Director 812-234-6540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05002904A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05002960A) |
| 2251P0200X Physical Therapist Pediatrics (Licence: IN 05002904A) | |
| 2251P0200X Physical Therapist Pediatrics (Licence: IN 05002960A) | |
| 225200000X Physical Therapy Assistant (Licence: IN 06002210A) | |
| 225X00000X Occupational Therapist (Licence: IN 31003318A) | |
| 225X00000X Occupational Therapist (Licence: IN 31001418A) | |
| 225XP0200X Occupational Therapist Pediatrics (Licence: IN 31003318A) | |
| 225XP0200X Occupational Therapist Pediatrics (Licence: IN 31001418A) | |
| 235Z00000X Speech-Language Pathologist (Licence: IN 22002410A) | |
| 235Z00000X Speech-Language Pathologist (Licence: IN 22002247A) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |