Individual
PAUL NEAL HANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5603 W RAYMOND ST, INDIANAPOLIS, IN 46241-4364
(312) 241-8266
Mailing address
528 W 43RD ST, INDIANAPOLIS, IN 46208-3750
(312) 925-0201
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002439A
IN
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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