# AVON PHYSICAL MEDICINE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Health1st
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821397779
- **Authorized official:** TERRY J TOLLE (OWNER/PRESIDENT)
- **Authorized official phone:** (317) 683-1971

## Contact information

- **Practice address:** 8258 ROCKVILLE RD, INDIANAPOLIS, IN 46214
- **Practice address phone:** (317) 429-5400
- **Practice address fax:** (317) 429-5401
- **Mailing address:** 1420 SADLIER CIRCLE E DRIVE, INDIANAPOLIS, IN 46239
- **Mailing address phone:** (317) 683-1972
- **Mailing address fax:** (317) 683-1989

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NULL | Yes |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |

## Other

- **Enumeration date:** 03/17/2011
- **Last updated:** 03/31/2011