Individual
MS. DARRIKA DENISE VAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACSM-CEP
Contact information
Practice address
1701 N SENATE BLVD RM A1076, INDIANAPOLIS, IN 46202-1239
(317) 962-0243
Mailing address
4931 TUSCANY LN, INDIANAPOLIS, IN 46254-5458
(317) 962-0243
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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