Individual
MARIA VICTORIA HERBOLARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5980 W 71ST ST STE 102, INDIANAPOLIS, IL 46278-1785
(317) 388-0800
(317) 388-0805
Mailing address
5980 W 71ST ST STE 102, INDIANAPOLIS, IL 46278-1785
(317) 388-0800
(317) 388-0805
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
032307
NY
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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