Individual
MRS. KRISTIN M FORREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009112A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285797142
ANTHEM
IN
05
—
1285797142
—
IN
01
—
12875797142
ANTHEM
IN
Enumeration date
03/26/2013
Last updated
03/26/2013
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