Individual
KUMAR MOKKALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14902 SHELBORNE ROAD, WESTFIELD, IN 46074
(317) 286-2885
Mailing address
14902 SHELBORNE RD, WESTFIELD, IN 46074-9668
(317) 286-2885
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010248A
IN
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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