Individual
RENAE DAWN CARTWRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2770 SOUTH ADAMS ROAD, BLOOMINGTON, IN 47403
(812) 323-4661
Mailing address
2770 SOUTH ADAMS ROAD, MONROE PLACE, BLOOMINGTON, IN 47403
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007315A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000271704
CSC - ANTHEM
IN
05
—
200396270
—
IN
Enumeration date
09/14/2005
Last updated
10/06/2014
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