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Organization

ACHIEVE PHYSICAL THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LORETO BAYANI PT (PRESIDENT)
(765) 453-8855
Entity
Organization

Contact information

Practice address
107 E 34TH ST, INDIANAPOLIS, IN 46205-3408
(317) 426-3477
(317) 622-2971
Mailing address
107 E 34TH ST, INDIANAPOLIS, IN 46205-3408
(317) 426-3477
(317) 622-2971

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05004058A
IN
2251S0007X
Sports Physical Therapist
05004050A
2251X0800X
Orthopedic Physical Therapist
05004058A
IN

Other

Enumeration date
04/19/2013
Last updated
05/26/2015
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