Organization
REPUSTAFF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERRY ERB (COO)
(317) 218-0654
Entity
Organization
Contact information
Practice address
8900 KEYSTONE XING, SUITE 600, INDIANAPOLIS, IN 46240-7670
(317) 218-0654
(317) 218-0684
Mailing address
8900 KEYSTONE XING, SUITE 600, INDIANAPOLIS, IN 46240-7670
(317) 218-0654
(317) 218-0684
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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