NPI 1003115957
Emerson Physical Medicine INC
Practice location
- Address
- 4625 S Emerson Ave, Indianapolis, IN 46203
- Phone
- (317) 522-2303
- Fax
- (317) 522-2304
- Mailing address
- 1420 Sadlier Circle E Drive, Indianapolis, IN 46239-0000
Authorised official
- Name
- Terry J Tolle
- Title
- Owner/President
- Phone
- (317) 683-1971
Registered specialties (2)
Neuromusculoskeletal Medicine & OMM Physician
Primary
Physical Medicine & Rehabilitation Physician
Registry record
- NPI
- 1003115957
- Entity type
- Organization
- NPI issued
- 17 Mar 2011
- Record last updated
- 31 Mar 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.