| NPI | 1992103071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK FISHER Chief Financial Officer 219-464-9621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2014-12-05 |