Individual
KELLI MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8140 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-5824
(317) 875-9700
Mailing address
6223 HARBRIDGE RD, INDIANAPOLIS, IN 46220-4945
(419) 343-0626
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004759A
IN
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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