Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251N0400X | Physical Therapist - Neurology | ||
Y | 2251N0400X | Physical Therapist - Neurology | 05012150A | IN |
NPI | 1043988587 |
---|---|
Provider Name | Rachel Handt |
First Address | Indianapolis, IN 46202-2207 |
Second Address | Indianapolis, IN 46202-2394 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2021 |
Last Update Date | 31/08/2021 |