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Individual

MS. PATCHARAPORN ANGKINANTANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
2976 N SCATTERFIELD RD, SUITE 101, ANDERSON, IN 46012-1585
(765) 643-8781
(765) 622-0126
Mailing address
2976 N SCATTERFIELD RD, SUITE 101, ANDERSON, IN 46012-1585
(765) 643-8781
(765) 622-0126

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0058202A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000374732
ANTHEM BCBS PIN
IN
Enumeration date
11/09/2006
Last updated
01/27/2009
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