Individual
BRIAN VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
9012 E 126TH ST, FISHERS, IN 46038-2849
(317) 415-6010
Mailing address
9012 E 126TH ST, FISHERS, IN 46038-2849
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05015079A
IN
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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