Individual
DEBORAH ANN WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6040 W 84TH ST, INDIANAPOLIS, IN 46278-1360
(317) 802-2000
Mailing address
6040 W 84TH ST, INDIANAPOLIS, IN 46278-1360
(317) 802-2000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05002333A
IN
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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