Individual
KARTIK SRINIVASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 W 2ND ST, BLOOMINGTON, IN 47403-2317
(812) 353-9953
Mailing address
5587 LIMESTONE CREEK RD, GOSPORT, IN 47433-7950
(317) 525-0073
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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