Individual
PRIYA GANGWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
355 W 16TH ST, INDIANAPOLIS, IN 46202-2207
(317) 963-7541
(317) 963-7079
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008658A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0500865A
PHYSICAL THERAPIST
IN
05
—
201348810
—
IN
Enumeration date
03/09/2016
Last updated
05/10/2022
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