Individual
RATANA ITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1560 E 101ST ST, INDIANAPOLIS, IN 46280-1555
(317) 848-7573
(317) 848-7573
Mailing address
1560 E 101ST ST, INDIANAPOLIS, IN 46280-1555
(317) 848-7573
(317) 848-7573
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
05008365A
IN
Other
Enumeration date
10/23/2009
Last updated
10/23/2009
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