Individual
ALEXANDER VAN SLYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9783 E 116TH ST # 245, FISHERS, IN 46037-2822
(815) 278-2515
Mailing address
70 S 15TH ST, RICHMOND, IN 47374-5606
(616) 826-4883
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05013150A
—
2251P0200X
Pediatric Physical Therapist
Primary
05013150A
IN
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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