Individual
MRS. KELLY BETH PUGLIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT ATC
Contact information
Practice address
6349 SOUTH EAST STREET US31, INDIANAPOLIS, IN 46227
(317) 780-2005
(317) 780-2006
Mailing address
4850 W CENTURY PLAZA RD, INDIANAPOLIS, IN 46254
(317) 216-2828
(317) 216-2839
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05003428A
IN
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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