Individual
LISA M OLDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 SENATE BLVD, SUITE AG045, INDIANAPOLIS, IN 46202-1239
(317) 962-4836
(317) 962-4812
Mailing address
950 N MERIDIAN ST, SUITE 300, INDIANAPOLIS, IN 46204-1077
(317) 962-4836
(317) 962-4812
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05005647
IN
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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