Organization
AMERICAN PHYSICAL THERAPY AND SPORTS MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWN MARIE MARTIN (OFFICE MANAGER)
(317) 487-6105
Entity
Organization
Contact information
Practice address
5610 CRAWFORDSVILLE RD, BUILDING #13, INDIANAPOLIS, IN 46224-3727
(317) 487-6105
(317) 487-8499
Mailing address
5610 CRAWFORDSVILLE RD, BUILDING #13, INDIANAPOLIS, IN 46224-3727
(317) 487-6105
(317) 487-8499
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000255388
ANTHEM BCBS
IN
Enumeration date
01/05/2007
Last updated
02/25/2008
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