Individual
REBECCA A O'BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4141 SHORE DRIVE, INDIANAPOLIS, IN 46254-2607
(317) 329-2000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01072824A
IN
208100000X
Physical Medicine & Rehabilitation Physician
P2325
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201180440
—
IN
05
—
305595601
—
TX
Enumeration date
04/28/2008
Last updated
01/06/2021
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