Individual
MITZI MARIE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 PENNSYLVANIA PKWY, STE 100, INDIANAPOLIS, IN 46280-1393
(317) 817-1200
(317) 817-1220
Mailing address
201 PENNSYLVANIA PKWY, STE 100, INDIANAPOLIS, IN 46280-1393
(317) 817-1200
(317) 817-1220
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05006826A
IN
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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