Vanessa Qualls

NPI 1093957284 - Physical Therapist - 225100000X

NPI Details
NPI 1093957284
Gender Female
Enumeration Date 04/02/2009
Last Updated 04/02/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
118 MEDICAL DR
CARMEL IN, 46032-2923, US
Phone (317) 573-1037
Fax (866) 785-4924
Business Location
11192 GOVERNORS LN
FISHERS IN, 46037-8836, US
Phone (317) 652-3201
Fax (866) 785-4924
Toxanomy
Taxonomy Code 225100000X
License State Indiana
License Number 05004138A
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According to our database, Vanessa Qualls NPI is 1093957284, taxonomy code is 225100000X and license number is 05004138A, license state is located at Indiana. Vanessa Qualls physically located at 118 Medical Dr, Carmel IN, 46032-2923. NPI Number Vanessa Qualls has the Individual type.

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1093957284 NPI number is provided on an as is basis without warranty of any kind. 1093957284 is maintained by the National Plan & Provider Enumeration System. The contents of Vanessa Qualls are for informational purposes only.