Individual
MR. ALEX MICHAEL COYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
500 N CAPITOL AVE, INDIANAPOLIS, IN 46204-1204
(317) 983-5400
Mailing address
936 BRENDON DR, PLAINFIELD, IN 46168-2377
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005803A
IN
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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