Individual
FRED LOEFFLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1273 N EMERSON AVE STE E, GREENWOOD, IN 46143-6673
(317) 807-0770
(317) 807-0771
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05002907A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05002907A
LICENSE#
IN
Enumeration date
11/03/2006
Last updated
11/05/2018
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