Individual
JILL PANGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7725 N COLLEGE AVE, INDIANAPOLIS, IN 46240-2504
(317) 253-1481
Mailing address
7725 N COLLEGE AVE, INDIANAPOLIS, IN 46240-2504
(317) 253-1481
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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