Organization
DAHLIA CITY COLLABORATIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAYLENE HERNANDEZ PT, DPT, WCS, CLT (PHYSICAL THERAPIST)
(317) 691-2936
Entity
Organization
Contact information
Practice address
3970 RAINFORD AVE, ZIONSVILLE, IN 46077-7979
(317) 691-2936
Mailing address
3970 RAINFORD AVE, ZIONSVILLE, IN 46077-7979
(317) 691-2936
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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