Individual
RICHARD VIDUYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5430 W US 40, GREENFIELD, IN 46140-8803
(317) 894-3301
Mailing address
4727 PALOMINO TRL, INDIANAPOLIS, IN 46239-9543
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002545A
IN
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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