Individual
RACHEL ANNE STURDEVANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13180 MARKET SQUARE DR STE 100, FISHERS, IN 46038-8390
(317) 813-9322
(317) 813-9337
Mailing address
1377 MOTOR PKWY STE 307, ISLANDIA, NY 11749-5258
(631) 580-5200
(631) 580-5222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010837A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05010837A
LICENSE
IN
Enumeration date
10/18/2019
Last updated
10/18/2019
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