SAMUEL WARREN KOELLING

INDIANAPOLIS, IN
NPI1780294579
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05013785A)
Enumeration Date2020-08-06
Last Update Date2021-12-22
Business Address
SAMUEL WARREN KOELLING DPT
5841 THUNDERBIRD RD STE I
INDIANAPOLIS, IN 46236-4792
Phone number: 317-823-0662
Mailing Address
SAMUEL WARREN KOELLING DPT
5841 THUNDERBIRD RD STE I
INDIANAPOLIS, IN 46236-4792
Phone number: 317-823-0662