Individual
MYLES MCCLENDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 MEDICAL DR, CARMEL, IN 46032-3323
(317) 843-4590
Mailing address
11361 CONGAREE WAY, INDIANAPOLIS, IN 46235-8827
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06006407A
IN
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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