Individual
MADISON ELAINA VAN OOYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6040 W 84TH ST, INDIANAPOLIS, IN 46278-1360
(317) 956-1082
Mailing address
6040 W 84TH ST, INDIANAPOLIS, IN 46278-1360
(317) 956-1082
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05014601A
IN
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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