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Organization
CENTRAL INDIANA PHYSICAL MEDICINE & REHAB
Active
Organization
CENTRAL INDIANA PHYSICAL MEDICINE & REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRIAM IBRAHIM MD (PRESIDENT)
(765) 213-3024
Entity
Organization
Contact information
Practice address
1107 S TILLOTSON AVE, STE 1, MUNCIE, IN 47304-4517
(765) 213-3024
(765) 282-9303
Mailing address
2001 N GRANVILLE AVE, MUNCIE, IN 47303-2110
(765) 213-3238
(765) 284-2434
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
07/31/2006
Last updated
01/16/2020
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