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Organization
HOLY LIFESTYLES REHAB AND WELLNESS, LLC
Active
Organization
HOLY LIFESTYLES REHAB AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LATISHA WILLIAMS PT (OWNER, PHYSICAL THERAPIST)
(317) 721-8079
Entity
Organization
Contact information
Practice address
5356 HILLSIDE AVE, INDIANAPOLIS, IN 46220-3461
(317) 721-8079
(317) 732-7585
Mailing address
6923 BRETTON WOOD DR, INDIANAPOLIS, IN 46268-2771
(317) 721-8079
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
08/03/2018
Last updated
09/26/2018
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