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Individual

MR. ALLEN L SLIGHT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
402 W MARKET ST, CRAWFORDSVILLE, IN 47933-1634
(765) 362-6740
(765) 362-6750
Mailing address
402 W MARKET ST, CRAWFORDSVILLE, IN 47933-1634
(765) 362-6740
(765) 362-6750

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05006085A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000333863
ANTHEM BLUE CROSS #
IN
01
05006085A
PHYSICAL THERAPIST LICENS
IN
Enumeration date
07/07/2005
Last updated
07/08/2007
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