Individual
STEPHEN P HURRLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1414 PARK MEADOW DR, BEECH GROVE, IN 46107-1966
(317) 791-0049
(317) 791-0049
Mailing address
1414 PARK MEADOW DR, BEECH GROVE, IN 46107-1966
(317) 791-0049
(317) 791-0049
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05001287A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000111107
ANTHEM BCBS PIN
IN
Enumeration date
11/11/2006
Last updated
07/08/2007
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