Individual
MICHAEL ANTHONY AMICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-3404
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-3404
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
05010464A
IN
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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