Organization
SOUTHSIDE PHYSICAL THERAPY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABOL DADFARMAY (OWNER)
(317) 826-8866
Entity
Organization
Contact information
Practice address
3440 S POST RD, INDIANAPOLIS, IN 46239-8301
(317) 862-2860
(317) 862-0928
Mailing address
8601 CREEKWOOD LN, INDIANAPOLIS, IN 46236-9211
(317) 826-8866
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05001800A
IN
Other
Enumeration date
04/19/2006
Last updated
08/22/2020
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