Bossi,llc

NPI 1306864541 - Physical Therapist - 225100000X

NPI Details
NPI 1306864541
Enumeration Date 07/17/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KENNETH CLARK KENNETH
Position OWNER
Phone (317) 581-1890
Fax (317) 581-2436
Practice Location
7855 S EMERSON AVE
STE W
INDIANAPOLIS IN, 46237-8668, US
Phone (317) 581-1890
Fax (317) 581-2436
Business Location
9102 N MERIDIAN ST
STE 415
INDIANAPOLIS IN, 46260-1860, US
Phone (317) 581-1890
Fax (317) 581-2436
Toxanomy
Taxonomy Code 225100000X
License State Indiana
License Number 05005624A
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According to our database, Bossi,llc NPI is 1306864541, taxonomy code is 225100000X and license number is 05005624A, license state is located at Indiana. Bossi,llc physically located at 7855 S Emerson Ave, Indianapolis IN, 46237-8668. NPI Number 1033115704 has the healthcare provider type.

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1306864541 NPI number is provided on an as is basis without warranty of any kind. 1306864541 is maintained by the National Plan & Provider Enumeration System. The contents of Bossi,llc are for informational purposes only.