Individual
ELYSE THARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
633 LIBRARY PARK DR STE J, GREENWOOD, IN 46142-1578
(317) 881-9923
Mailing address
3206 W WOODHAVEN DR, BLOOMINGTON, IN 47403-4196
(812) 381-3368
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013094A
IN
Other
Enumeration date
06/10/2020
Last updated
04/01/2024
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