Individual
NIKITA VIJAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7301 E 16TH ST, INDIANAPOLIS, IN 46219-2308
(317) 353-1290
Mailing address
12950 GRAND BLVD APT 2K15, CARMEL, IN 46032-5290
(909) 665-5661
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012407A
IN
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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