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Contact Information

LOIS J HERTOG, PTA
8060 KNUE RD
SUITE 110
INDIANAPOLIS, IN46250
 Phone: 800-862-3310
 Fax: 317-842-7674
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for LOIS J HERTOG · (Female)

NPI Number 1851587042
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 09/20/2007
Last updated 09/20/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 06002085A
  • KY License # PTAA01151
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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