Individual
JEEVAN PANDYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4950 E STOP 11 RD, STE B, INDIANAPOLIS, IN 46237-9100
(317) 859-5857
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008819A
IN
Other
Enumeration date
03/09/2009
Last updated
04/22/2014
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