Individual
MARYCHARLOTTE TURNER BALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
426 S ALABAMA ST STE 200, INDIANAPOLIS, IN 46225-3301
(317) 528-6804
(317) 528-3781
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05014056A
IN
225100000X
Physical Therapist
070024084
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M147140325
MEDICARE
IN
Enumeration date
01/25/2019
Last updated
02/20/2023
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