| NPI | 1992826457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL MONTGOMERY Owner President 812-375-1340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05001916A) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |