BRENDA ELISA MADISON

INDIANAPOLIS, IN
NPI1790962850
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06000862A)
Enumeration Date2008-01-30
Last Update Date2008-01-30
Business Address
-- BRENDA ELISA MADISON PT
1251 W 96TH ST #N
INDIANAPOLIS, IN 46260-1181
Phone number: 317-377-6400
Mailing Address
-- BRENDA ELISA MADISON PT
6114 PILLORY DR
INDIANAPOLIS, IN 46254-5054
Phone number: 317-377-6400