Individual
KATHERINE SIDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 S PARK BLVD STE 21, GREENWOOD, IN 46143-8838
(317) 449-2104
Mailing address
1201 RUNNINGBROOK DR, AVON, IN 46123-8150
(317) 374-1729
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012992A
IN
Other
Enumeration date
08/05/2018
Last updated
08/05/2018
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