Individual
AMANDA SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 MEDICAL DR, LIFESPAN THERAPY, CARMEL, IN 46032-2923
(317) 817-8874
Mailing address
1647 FRY RD, GREENWOOD, IN 46142-1174
(317) 717-1565
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009138A
IN
Other
Enumeration date
02/23/2014
Last updated
02/23/2014
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