Individual
AMANDA RAE LEWALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5214 S EAST ST, SUITE 1 BUILDING D HTS OUTPATIENT THERAPY SERVICES, INDIANAPOLIS, IN 46227-1917
(800) 486-4449
(317) 780-3750
Mailing address
5214 S EAST ST, SUITE 1 BUILDING D, INDIANAPOLIS, IN 46227-1917
(800) 486-4449
(317) 780-3750
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
99021556A
IN
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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