Individual
HALEY MARIE LOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3640 CENTRAL AVE, INDIANAPOLIS, IN 46205-3569
(317) 774-0364
Mailing address
5319 N COLLEGE AVE, INDIANAPOLIS, IN 46220-3141
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06006189A
IN
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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