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Organization

INTERNATIONAL PHYSIOTHERAPY ASSOCIATES PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ADONIAH MAVURA MUKONA PHYSICAL THERAPIST (PRESIDENT & OWNER)
(317) 332-9552
Entity
Organization

Contact information

Practice address
3737 N MERIDIAN ST, SUITE 210, INDIANAPOLIS, IN 46208-4348
(317) 672-9198
(844) 274-0371
Mailing address
1801 RED PHISTER DR, AVON, IN 46123-7172
(317) 272-1383
(317) 272-1383

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
53000125A
IN

Other

Enumeration date
02/11/2014
Last updated
12/31/2014
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