Individual
PROF. LUZ MIREYA SILVA-RUEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11301 DESERT GLEN DR, FISHERS, IN 46037-8293
(317) 431-1147
(317) 585-0365
Mailing address
11301 DESERT GLEN DR, FISHERS, IN 46037-8293
(317) 431-1147
(317) 585-0365
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05004633A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200605990
RENDERING PROVIDER NUMBER
IN
01
—
200731600A
FIRST STEPS PROVIDER
IN
Enumeration date
06/27/2008
Last updated
07/02/2008
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