Individual
COURTNEY NICOLE ECCLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5080 N STATE ROAD 135 STE F, BARGERSVILLE, IN 46106-8931
(317) 893-2449
Mailing address
888 KELLY PASS, GREENWOOD, IN 46143-5572
(317) 460-2925
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004532A
IN
Other
Enumeration date
05/15/2020
Last updated
05/15/2020
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