Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 05010244A | IN |
NPI | 1003260514 |
---|---|
Provider Name | Steven Saied |
First Address | Indianapolis, IN 46240-1470 |
Second Address | Indianapolis, IN 46240-1470 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2016 |
Last Update Date | 20/04/2016 |