Individual provider · NPI-1
Emily Anderson, CP
Prosthetic/Orthotic Supplier · Indianapolis, IN
NPI number1952877631
StatusActive
Last updated in NPPESOct 19, 2018
Details
- NPI
- 1952877631
- Entity type
- Individual (NPI-1)
- Name
- Emily Anderson
- Credential
- CP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 19, 2018
- Last updated
- Oct 19, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
Practice location
1900 N Meridian StIndianapolis, IN 46202-1304
Phone 866-633-3961 · Fax 260-999-5884
Mailing address
408 E Washington StButler, IN 46721-1179
Phone 866-633-3961 · Fax 260-999-5884
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