Individual
MIGUELITO AMBON PERENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10580 N MERIDIAN ST, CARMEL, IN 46290-1028
(317) 583-5000
Mailing address
10720 FIRELIGHT CT, NOBLESVILLE, IN 46060-6758
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05003493A
IN
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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