Organization
INDY PHYSICAL THERAPY, P.C.
Active
Parent organization
INDY PHYSICAL THERAPY, P.C.
Other names
Indy Physical Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDY PHYSICAL THERAPY, P.C.
Authorized official
MR. PETER CHRISTOPHER MANZELLI P.T. (OWNER)
(317) 849-3517
Entity
Organization
Contact information
Practice address
7950 N SHADELAND AVE, #200, INDIANAPOLIS, IN 46250-2691
(317) 849-3517
(317) 849-6397
Mailing address
7950 N SHADELAND AVE, #200, INDIANAPOLIS, IN 46250-2691
(317) 849-3517
(317) 849-6397
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05006219A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000505369
ANTHEM/BCBS
IN
Enumeration date
01/18/2007
Last updated
11/27/2007
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