Individual
NANCY REVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1185 W CARMEL DR, CARMEL, IN 46032-8706
(317) 582-8924
Mailing address
1185 W CARMEL DR, CARMEL, IN 46032-8706
(317) 582-8924
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
05001310A
IN
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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