Individual
MR. ANDREW KEITH ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC
Contact information
Practice address
3000 S STATE ROAD 135, SUITE 110, GREENWOOD, IN 46143-9825
(317) 535-4075
Mailing address
3000 S STATE ROAD 135, SUITE 110, GREENWOOD, IN 46143-9825
(317) 535-4075
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011808A
IN
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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