Individual
JERICHO EARL VENTURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7345 WOODLAND DR, INDIANAPOLIS, IN 46278-1737
(317) 388-0800
(317) 388-0805
Mailing address
7345 WOODLAND DR, INDIANAPOLIS, IN 46278-1737
(317) 388-0800
(317) 388-0805
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT31984
FL
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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