Organization
INTEGRATIVE THERAPEUTICS LLC
Active
Organization
INTEGRATIVE THERAPEUTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENILE J ABELL F.N. P. (PRESIDENT)
(317) 826-0096
Entity
Organization
Contact information
Practice address
11074 WOODS BAY LN, INDIANAPOLIS, IN 46236-9020
(317) 703-4772
Mailing address
11074 WOODS BAY LN, INDIANAPOLIS, IN 46236-9020
(317) 703-4772
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
71002899B
IN
261QP3300X
Pain Clinic/Center
Primary
71002899B
IN
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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