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Individual

MONA LIES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
5211 N PENNSYLVANIA ST, INDIANAPOLIS, IN 46220-3056
(317) 373-8663
Mailing address
5211 N PENNSYLVANIA ST, INDIANAPOLIS, IN 46220-3056
(317) 373-8663

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5001806A
IN

Other

Enumeration date
07/16/2018
Last updated
07/16/2018
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