Organization
DOWNTOWN PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYCE J. TAYLOR MSPT (PRESIDENT)
(317) 634-0600
Entity
Organization
Contact information
Practice address
251 N ILLINOIS ST, SUITE 190, INDIANAPOLIS, IN 46204-1947
(317) 634-0600
(317) 634-0606
Mailing address
251 N ILLINOIS ST, SUITE 190, INDIANAPOLIS, IN 46204-1927
(317) 634-0600
(317) 634-0606
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
05008871A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000538629
ANTHEM
IN
Enumeration date
01/23/2008
Last updated
11/01/2012
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