Individual
SRINIVASAN K. SANKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
34 S MAIN ST, CLOVERDALE, IN 46120-8531
(765) 795-4260
Mailing address
6012 PINE BLUFF DR, AVON, IN 46123-6842
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05003000A
IN
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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