-- AMBER BLACK --
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1437534849- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 433 N CAPITOL AVE, INDIANAPOLIS, IN, 462041234
- Phone
- (317) 860-1646
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: IN #06004308A