Individual
MRS. ALICE C RECTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3360 W 30TH ST, INDIANAPOLIS, IN 46222-2139
(317) 924-4333
Mailing address
1412 NORTON DR, GREENWOOD, IN 46143-6476
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001431A
IN
Other
Enumeration date
07/23/2009
Last updated
09/02/2011
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