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Organization

INDY PHYSICAL THERAPY

Active
Other names
Indy PhysioTherapy
Organization subpart
No

Provider details

NPI number
Authorized official
NIDAL EL BARIDI PT (OWNER)
(317) 849-3517
Entity
Organization

Contact information

Practice address
7950 N SHADELAND AVE, SUITE 200, INDIANAPOLIS, IN 46250-2691
(317) 849-3517
(317) 849-6397
Mailing address
PO BOX 50370, INDIANAPOLIS, IN 46250-0370
(317) 849-3517
(317) 849-6397

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05005794A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000282200
ANTHEM ID NUMBER
IN
Enumeration date
09/29/2005
Last updated
08/22/2020
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