Mr Adoniah Mavura Mukona, | |
1801 Red Phister Dr, Avon, IN 46123-7172 | |
(317) 272-1383 | |
Not Available |
Full Name | Mr Adoniah Mavura Mukona |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1801 Red Phister Dr, Avon, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588859631 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 05004874A (Indiana) | Primary |
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
Provider Name | International Physiotherapy Associates Professional Corporation |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1629492632 PECOS PAC ID: 7911220660 Enrollment ID: O20150105000077 |
Mailing Address | Practice Location Address |
---|---|
Mr Adoniah Mavura Mukona, 1801 Red Phister Dr, Avon, IN 46123-7172 Ph: (317) 272-1383 | Mr Adoniah Mavura Mukona, 1801 Red Phister Dr, Avon, IN 46123-7172 Ph: (317) 272-1383 |
Dr. Audra Danielle O'brien, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2076 Aspen Dr, Avon, IN 46123 Phone: 317-627-1987 Fax: 317-839-9274 | |
Sydney Lady, Physical Therapist Medicare: Medicare Enrolled Practice Location: 10651 E Us Highway 36, Avon, IN 46123 Phone: 317-677-0174 | |
Megan Wyse, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 Satori Pkwy Ste 110, Avon, IN 46123 Phone: 317-272-4186 | |
Mrs. Linda Joyce Pedersen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1111 Ronald Reagan Pkwy, Suite Mg214, Avon, IN 46123 Phone: 317-217-3070 | |
Sara Sermersheim, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9082 E Us Highway 36, Avon, IN 46123 Phone: 317-209-1900 | |
Elizabeth Farmer, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 Satori Pkwy Ste 110, Avon, IN 46123 Phone: 317-272-4186 | |
Melissa Ferris, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10651 E Us Highway 36, Avon, IN 46123 Phone: 317-677-0174 Fax: 317-209-9372 |