Individual
CAS SAPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 MEDICAL DR, CARMEL, IN 46032-2923
(317) 573-1037
(866) 785-4924
Mailing address
8305 S ASHLEY AVE, BLOOMINGTON, IN 47401-8900
(866) 785-4924
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05003924A
IN
Other
Enumeration date
12/10/2008
Last updated
12/10/2008
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