Individual
SHEILA DORENE DENMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
5949 W RAYMOND ST, INDIANAPOLIS, IN 46241-4348
(317) 390-5575
(317) 486-2189
Mailing address
5949 W RAYMOND ST, INDIANAPOLIS, IN 46241-4348
(317) 390-5575
(317) 486-2189
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05003065A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000112020
ANTHEM ID
IN
05
—
100366680
—
IN
Enumeration date
03/02/2006
Last updated
09/01/2011
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