Individual
RICHA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1311 N SHADELAND AVE, SUITE E-J, INDIANAPOLIS, IN 46219-3660
(317) 352-0933
Mailing address
1840 NATIONAL AVE, APT 206, INDIANAPOLIS, IN 46227-3362
(317) 332-2038
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012296A
IN
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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