Individual
CAROLINA MERCA RICKETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 MEDICAL DR, CARMEL, IN 46032-3323
(317) 200-3965
Mailing address
12975 SAXONY BLVD, FISHERS, IN 46037-6258
(317) 792-0501
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05005319A
IN
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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