Individual
ELVIA CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 MEDICAL DR, CARMEL, IN 46032-3323
(317) 531-5200
Mailing address
118 MEDICAL DR, CARMEL, IN 46032-3323
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002006A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06002006A
—
IN
Enumeration date
12/17/2018
Last updated
12/17/2018
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