Individual
GRETCHEN SOPHIA PROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6239 S EAST ST STE A, INDIANAPOLIS, IN 46227-2088
(317) 791-9031
(317) 791-9001
Mailing address
6239 S EAST ST STE A, INDIANAPOLIS, IN 46227-2088
(317) 791-9031
(317) 791-9001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013399A
IN
Other
Enumeration date
08/20/2019
Last updated
09/21/2022
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