Individual
GABRIEL MANUILOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1635 N ARLINGTON AVE, INDIANAPOLIS, IN 46218-5181
(317) 353-6000
Mailing address
9234 DANSK RIDGE CT APT D, INDIANAPOLIS, IN 46250-1174
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004938A
IN
Other
Enumeration date
08/05/2017
Last updated
08/05/2017
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