JIMMY MIDENCE

INDIANAPOLIS, IN
NPI1912558081
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  99094830A)
Enumeration Date2019-09-20
Last Update Date2022-02-15
Business Address
JIMMY MIDENCE PTA
4205 SUNSHINE AVE
INDIANAPOLIS, IN 46228
Phone number: 317-937-1134
Mailing Address
JIMMY MIDENCE PTA
4205 SUNSHINE AVE
INDIANAPOLIS, IN 46228
Phone number: 317-937-1134
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