Individual
LYDIA ANN GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CBIS
Contact information
Practice address
355 W 16TH ST STE 1078, INDIANAPOLIS, IN 46202-2207
(317) 963-7050
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011182A
IN
2251N0400X
Neurology Physical Therapist
05011182A
IN
Other
Enumeration date
09/21/2021
Last updated
03/09/2022
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