Individual
MRS. STEPHANIE JAYNE MACHOWIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10307 E COUNTY ROAD 100 N, INDIANAPOLIS, IN 46234-1250
(317) 273-2144
Mailing address
9905 HUNT CLUB RD, ZIONSVILLE, IN 46077-8456
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011347A
IN
225200000X
Physical Therapy Assistant
06003778A
IN
Other
Enumeration date
12/23/2009
Last updated
02/18/2014
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