Individual
MARY E OURSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1992 E STOP 13 RD, INDIANAPOLIS, IN 46227-6267
(317) 808-0230
(317) 808-0231
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05002832A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000112014
ANTHEM ID
IN
05
—
100367010
—
IN
Enumeration date
03/03/2006
Last updated
01/08/2025
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