Individual
POLLY ANN HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
7112 ZIONSVILLE RD, INDIANAPOLIS, IN 46268-2163
(317) 329-1000
(317) 329-1001
Mailing address
7112 ZIONSVILLE RD, INDIANAPOLIS, IN 46268-2163
(317) 329-1000
(317) 329-1001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05005028A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000365562
ANTHEM REGISTERED PT
—
Enumeration date
08/10/2006
Last updated
07/09/2007
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