Organization
IN MOTION PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VAN EVANOFF MD (PRESIDENT)
(317) 837-1999
Entity
Organization
Contact information
Practice address
824 EDWARDS DRIVE, SUITE 112, PLAINFIELD, IN 46168-4498
(317) 838-0702
Mailing address
P.O. BOX 6069, DEPT #207, INDIANAPOLIS, IN 46206-6069
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
02/12/2008
Last updated
04/01/2008
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