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Individual

ALMA GRACE MASAMAYOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5980 W 71ST ST, SUITE 102, INDIANAPOLIS, IN 46278-2711
(317) 388-0800
Mailing address
5980 W 71ST ST, SUITE 102, INDIANAPOLIS, IN 46278-2711
(317) 388-0800

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4769
OK

Other

Enumeration date
02/19/2014
Last updated
02/19/2014
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