| NPI | 1992005540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN HORNER Owner/Director 317-209-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05004099A) |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2015-06-08 |