Organization
PHYSIOTHERAPY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAYNE FLECK POOL (CHIEF COMPLIANCE OFFICER)
(469) 467-8705
Entity
Organization
Contact information
Practice address
10601 N MERIDIAN ST, SUITE 110, INDIANAPOLIS, IN 46290-1152
(317) 575-2100
(317) 575-2105
Mailing address
PO BOX 1245, INDIANA, PA 15701-5245
(724) 465-3496
(215) 413-4682
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000175000
ANTHEM BCBS
IN
05
—
100133720N
—
IN
Enumeration date
11/03/2006
Last updated
08/02/2012
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