Individual
SARA THACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3077 E 98TH ST, SUITE 265, INDIANAPOLIS, IN 46280-2940
(317) 569-1170
Mailing address
3854 W FAIRVIEW RD, GREENWOOD, IN 46142-8522
(317) 345-6062
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002816A
IN
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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