Individual
MRS. ELIZABETH J PRABHAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T
Contact information
Practice address
8616 W 10TH ST, INDIANAPOLIS, IN 46234-2167
(317) 209-2332
Mailing address
10852 RIVA RIDGE CT, INDIANAPOLIS, IN 46234-9689
(317) 272-5008
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008217A
IN
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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