Individual
HOLLY JOY BUEROSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7301 E 16TH ST, INDIANAPOLIS, IN 46219-2308
(317) 353-1290
Mailing address
10845 TEALPOINT DR, INDIANAPOLIS, IN 46229-3436
(317) 289-6168
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007063A
IN
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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