Individual
MARK HEDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
220 LAKEVIEW DR STE 14, NOBLESVILLE, IN 46060-1210
(317) 776-1061
(317) 776-1172
Mailing address
220 LAKEVIEW DR, NOBLESVILLE, IN 46060-1210
(317) 776-1061
(317) 776-1172
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012730A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200010295
—
IN
Enumeration date
07/18/2006
Last updated
08/20/2021
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