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1295401321
KELSEY LANE
CARMEL, IN
NPI
1295401321
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06005782A)
Enumeration Date
2021-08-18
Last Update Date
2021-08-18
Business Address
KELSEY LANE PTA
118 MEDICAL DR
CARMEL, IN 46032-3323
Phone number: 812-241-9852
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Mailing Address
KELSEY LANE PTA
11210 BAYCREEK DR
INDIANAPOLIS, IN 46236-9104
Phone number: 812-241-9852
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