Maria Rose Lalyn Tan Elvinia

NPI 1609030493 - Physical Therapist - 225100000X

NPI Details
NPI 1609030493
Gender Female
Enumeration Date 07/11/2008
Last Updated 07/14/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
7301 E 16TH STREET
WILDWOOD HEALTH CARE CENTER
INDIANAPOLIS IN, 46219, US
Phone (317) 353-1290
Fax
Business Location
3916 WIND DRIFT DR E
APT 1D
INDIANAPOLIS IN, 46254-3216, US
Phone
Fax
Toxanomy
Taxonomy Code 225100000X
License State Indiana
License Number 05008445A
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According to our database, Maria Rose Lalyn Tan Elvinia NPI is 1609030493, taxonomy code is 225100000X and license number is 05008445A, license state is located at Indiana. Maria Rose Lalyn Tan Elvinia physically located at 7301 E 16th Street, Indianapolis IN, 46219. NPI Number Maria Rose Lalyn Tan Elvinia has the Individual type.

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1609030493 NPI number is provided on an as is basis without warranty of any kind. 1609030493 is maintained by the National Plan & Provider Enumeration System. The contents of Maria Rose Lalyn Tan Elvinia are for informational purposes only.