Individual
AMRUTA GODBOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2741 N SALISBURY ST, WEST LAFAYETTE, IN 47906-1431
(765) 464-5135
Mailing address
2741 N SALISBURY ST, WEST LAFAYETTE, IN 47906-1431
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010300A
IN
Other
Enumeration date
10/01/2016
Last updated
10/01/2016
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