Individual
MR. SOCRATES BACALSO NACUA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
5214 S EAST ST, BUILDING D SUITE 1, INDIANAPOLIS, IN 46227
(800) 486-4449
(317) 780-3745
Mailing address
5214 S EAST ST, BUILDING D SUITE 1, INDIANAPOLIS, IN 46227
(800) 486-4449
(317) 780-3745
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05006B61A
IN
Other
Enumeration date
01/09/2006
Last updated
07/08/2007
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