Individual provider · NPI-1

Theresa Andis

Specialist/Technologist, Rehabilitation, Blind · Indianapolis, IN

NPI number1851141840
StatusActive
Last updated in NPPESMar 25, 2024

Details

NPI
1851141840
Entity type
Individual (NPI-1)
Name
Theresa Andis
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 25, 2024
Certification date
Mar 24, 2024
Last updated
Mar 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255R0406X Specialist/Technologist, Rehabilitation, Blind––Yes

Other names

  • Theresa Andis-Dicarlo (Other Name)

Practice location

1212 Southeastern Ave
Indianapolis, IN 46202-3948

Phone 316-698-7723

Mailing address

1212 Southeastern Ave
Indianapolis, IN 46202-3948

Phone 316-698-7723

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