Individual
SULAKSHMI KANCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T
Contact information
Practice address
501 N 17TH AVE, BEECH GROVE, IN 46107-1169
(317) 403-4865
Mailing address
1182 CREEK BEND DR, GREENWOOD, IN 46143-7024
(317) 403-4865
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
05009174A
IN
Other
Enumeration date
05/21/2008
Last updated
01/22/2013
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