Individual
SEAN C FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
609 E 29TH ST RM 103, INDIANAPOLIS, IN 46205-4160
(765) 382-0794
Mailing address
609 E 29TH ST RM 103, INDIANAPOLIS, IN 46205-4160
(765) 382-0794
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005447A
IN
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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