Organization
INDY MOBILE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT WILLIAM FOLEY PTA (OFFICER)
(317) 908-7307
Entity
Organization
Contact information
Practice address
4831 BRENTRIDGE PKWY, GREENWOOD, IN 46143-9368
(317) 908-7307
Mailing address
4831 BRENTRIDGE PKWY, GREENWOOD, IN 46143-9368
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/08/2017
Last updated
07/08/2017
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