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Individual

BRIAN IRK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7828 E 88TH ST, INDIANAPOLIS, IN 46256-1234
(219) 851-1455
Mailing address
9975 LANTERN RD, FISHERS, IN 46037-9684

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
10/25/2015
Last updated
10/25/2015
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