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Individual

MR. JABAKAR SANTHOSAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
501 17TH STREET, BEECH GROVE, INDIANAPOLIS, IN 46207
(317) 786-2670
Mailing address
7064 CHESTERTON CIR, BLDG # 5, INDIANAPOLIS, IN 46237-8304

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009173A
IN

Other

Enumeration date
05/28/2008
Last updated
05/28/2008
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