Individual
MISS STEPHANIE RYNAE FOUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7950 N SHADELAND AVE, SUITE 200, INDIANAPOLIS, IN 46250-2691
(317) 849-3517
(317) 849-6397
Mailing address
6017 ROSSLYN AVE, INDIANAPOLIS, IN 46220-2019
(765) 977-6867
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003403A
IN
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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