Individual
REBECCA HARLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2052 LEBANON RD, CRAWFORDSVILLE, IN 47933-2143
(765) 362-4151
Mailing address
250 BROOKS BND, BROWNSBURG, IN 46112-9239
(317) 858-8500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05002782
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000275419
BCBS PIN #
IN
Enumeration date
11/06/2006
Last updated
07/08/2007
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