Individual
TYLER JOSEPH GAMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4940 W 56TH ST, INDIANAPOLIS, IN 46254-1408
(317) 297-3115
Mailing address
6501 KINGSLEY DR, INDIANAPOLIS, IN 46220-1261
(317) 670-3760
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
05014281A
IN
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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