Individual
MISS MIRANDA PARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8820 ANCHOR BAY CT, INDIANAPOLIS, IN 46236-8210
(317) 826-1853
(317) 826-1938
Mailing address
8820 ANCHOR BAY CT, INDIANAPOLIS, IN 46236-8210
(317) 826-1853
(317) 826-1938
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
85009928A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85009928A
PHYSICAL THERAPIST LICENSE
IN
Enumeration date
07/15/2009
Last updated
06/26/2017
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