Individual
KARLA M. HENCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05003462A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000111996
ANTHEM ID
IN
05
—
200146170
—
IN
Enumeration date
04/18/2006
Last updated
01/11/2012
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