Individual
CYNTHIA L PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7001 HOOVER RD, INDIANAPOLIS, IN 46260-4169
(317) 251-2261
Mailing address
3675 E SUMNER AVE, INDIANAPOLIS, IN 46237-1210
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002914A
IN
Other
Enumeration date
09/10/2011
Last updated
09/10/2011
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