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NPI Code Detail

MEDICARE: LISA JANE HINDERS P.T.

MEDICARE: LISA JANE HINDERS P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist05007724AIN

General Provider Information

NPI Number : 1356420624
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA JANE HINDERS P.T.
Provider Business Mailing Address
First Line : 10701 ALLIANCE DR STE D
Second Line :
City : CAMBY
State : IN
Zip : 46113-8837
Country : US
Telephone Number : 317-821-3740
Fax Number : 317-821-3750
Provider Business Practice Location Address
First Line : 10701 ALLIANCE DR STE D
Second Line :
City : CAMBY
State : IN
Zip : 46113-8837
Country : US
Telephone Number : 317-821-3740
Fax Number : 317-821-3750
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2006
Last Update Date : 07/09/2007

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Directions to “ LISA JANE HINDERS P.T.” Practice Location

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