Individual
TATYANA BEYZEROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1481 W 10TH ST, PMRS ROUTING NUMBER 117, INDIANAPOLIS, IN 46202-2803
(317) 988-2368
Mailing address
3975 W 300 S, NEW PALESTINE, IN 46163-9614
(317) 861-1849
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05005785A
IN
Other
Enumeration date
08/27/2006
Last updated
07/08/2007
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