Organization
DIVERGENT REHAB AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ALAN MURPHY PT, DPT (DOCTOR OF PHYSICAL THERAPY)
(651) 239-3475
Entity
Organization
Contact information
Practice address
1980 E 116TH ST STE 315, CARMEL, IN 46032-3517
(317) 350-4060
Mailing address
1980 E 116TH ST STE 315, CARMEL, IN 46032-3517
(317) 350-4060
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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