Organization
NV HEALTH ENTERPRISE LLC
Active
Other names
LASO REHAB & WELLNESS
Organization subpart
No
Provider details
NPI number
Authorized official
GOPI KRISHNA GORANTLA (OWNER)
(317) 513-2886
Entity
Organization
Contact information
Practice address
6525 E 82ND ST STE 103, INDIANAPOLIS, IN 46250-1545
(317) 348-4949
(317) 537-2089
Mailing address
6525 E 82ND ST STE 103, INDIANAPOLIS, IN 46250-1545
(317) 348-4949
(317) 537-2089
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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