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Individual

EVAN PATRICK HENDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
3114 E 46TH ST, INDIANAPOLIS, IN 46205-2413
(317) 920-7888
Mailing address
6130 CARVEL AVE APT 3, INDIANAPOLIS, IN 46220-2089
(573) 228-0991

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
05014188A
IN
225100000X
Physical Therapist
05014188A
IN

Other

Enumeration date
10/23/2021
Last updated
10/23/2021
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