Individual
BRIAN RAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8480 CRAIG ST, INDIANAPOLIS, IN 46250-4745
(317) 578-7730
Mailing address
655 S WILLOW ST STE 128, MANCHESTER, NH 03103-5723
(603) 681-9294
(888) 979-6551
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005419A
IN
225200000X
Physical Therapy Assistant
2306606237
VA
225200000X
Physical Therapy Assistant
DA7784
NC
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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