Individual
CORRINE THARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8549 MADISON AVE, INDIANAPOLIS, IN 46227-6153
(317) 881-9164
(317) 887-4060
Mailing address
5519 PAPPAS DR, INDIANAPOLIS, IN 46237-2315
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003235A
IN
Other
Enumeration date
09/18/2009
Last updated
09/18/2009
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