Individual
FREDERICK BACURIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5307 CAMERON LN, LAFAYETTE, IN 47905-7584
(317) 748-5622
Mailing address
5214 S EAST ST, BUILDING D, SUITE 1, INDIANAPOLIS, IN 46227-1917
(800) 486-4449
(317) 780-3750
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05006381A
IN
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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