Individual
MARY STEPHANIE LIBERATO NOVALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
9567 FRONTIER ST, FISHERS, IN 46038-8333
(317) 508-6844
(317) 774-1403
Mailing address
9567 FRONTIER ST, FISHERS, IN 46038-8333
(317) 508-6844
(317) 774-1403
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
05003475A
IN
Other
Enumeration date
07/28/2008
Last updated
07/28/2008
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