Individual
MR. PAUL RICHARD GROSECLOSE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5214 S EAST ST, HTS OUTPATIENT THERAPY SERVICES BLDG D STE 1, INDIANAPOLIS, IN 46227-1917
(800) 486-4449
(317) 780-3745
Mailing address
5214 S EAST ST, BLDG D STE 1, INDIANAPOLIS, IN 46227-1917
(800) 486-4449
(317) 780-3745
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06000742A
IN
Other
Enumeration date
11/21/2005
Last updated
07/08/2007
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