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Individual

MRS. KATHERINE ANNA BRANDOLINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICAL THERAPIST

Contact information

Practice address
10412 ALLISONVILLE RD STE 112, FISHERS, IN 46038
(317) 288-7763
(317) 288-7765
Mailing address
15610 MEITH ST, FORTVILLE, IN 46040-9609
(941) 302-4306

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010398A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05010398A
LICENSE NUMBER
IN
01
PT 21993
PHYSICAL THERAPIST
Enumeration date
06/27/2006
Last updated
09/05/2018
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