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Organization

CENTER FOR SPINE & SPORTS REHABILITATION PC

Active
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Organization

CENTER FOR SPINE & SPORTS REHABILITATION PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THELMA LYNETTE GREEN-MACK MD (PRESIDENT)
(317) 920-3220
Entity
Organization

Contact information

Practice address
3850 SHORE DR STE 305, INDIANAPOLIS, IN 46254-4693
(317) 920-3220
(317) 920-3222
Mailing address
3850 SHORE DR STE 305, INDIANAPOLIS, IN 46254-4693
(317) 920-3220
(317) 920-3221

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01037601B
IN

Other

Enumeration date
10/17/2007
Last updated
02/22/2023
About Stedi
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