Individual
MRS. SANDRA BUSH KLUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8601 SHELBY ST, INDIANAPOLIS, IN 46227-6596
(317) 885-4446
Mailing address
474 AUTUMN SPRINGS CT, AVON, IN 46123-7472
(317) 361-2292
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05006893A
IN
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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