Individual
MAYA ALEXANDRA LEBLANC SKAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
500 N CAPITOL AVE STE A, INDIANAPOLIS, IN 46204-1204
(317) 983-5400
Mailing address
5901 W HELLIS DR, MUNCIE, IN 47304-3438
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06006013A
IN
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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