Individual
MRS. JUDITH D. MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
8020 S FRANKLIN RD, INDIANAPOLIS, IN 46259-7632
(317) 862-9923
(317) 862-9937
Mailing address
8020 S FRANKLIN RD, INDIANAPOLIS, IN 46259-7632
(317) 862-9923
(317) 862-9937
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05000535A
IN
2251P0200X
Pediatric Physical Therapist
05000535A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200643010
—
IN
Enumeration date
06/06/2008
Last updated
06/06/2008
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