Individual
ANISH PAULOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13180 MARKET SQUARE DR STE 100, FISHERS, IN 46038-8390
(317) 813-9322
(317) 813-9337
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011519A
IN
2251X0800X
Orthopedic Physical Therapist
05011519A
IN
Other
Enumeration date
08/25/2015
Last updated
05/04/2023
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