Individual
RALPH LIWANAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
5226 E 82ND ST, INDIANAPOLIS, IN 46250-1628
(317) 842-6668
Mailing address
5226 E 82ND ST, INDIANAPOLIS, IN 46250-1628
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05005722A
IN
Other
Enumeration date
08/10/2008
Last updated
08/10/2008
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