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1780885590
MARK M FELLWOCK
INDIANAPOLIS, IN
NPI
1780885590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: IN 05004294A)
Enumeration Date
2007-05-30
Last Update Date
2009-05-09
Business Address
-- MARK M FELLWOCK PT
5604 W 74TH ST
INDIANAPOLIS, IN 46278-1752
Phone number: 317-290-1551
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Mailing Address
-- MARK M FELLWOCK PT
5218 E 70TH ST
INDIANAPOLIS, IN 46220-3838
Phone number: 317-465-9046
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