Individual
SHEILA MARIE LONGPRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
830 CLOUDY WING DR, INDIANAPOLIS, IN 46227-1094
(317) 881-6429
Mailing address
7848 CARAWAY PL, INDIANAPOLIS, IN 46239-7935
(317) 997-2016
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003640A
IN
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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