Individual provider · Type 1 NPI

Pharisia Tudlong

Contractor · Indianapolis, IN

NPI number 1679697601 Active

Practice location

5980 W 71st St Ste 201
Indianapolis, IN 46278-1785

Fax (317) 388-0805

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000X05009152A (IN)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1679697601

Pharisia Tudlong's National Provider Identifier is 1679697601, issued on Mar 16, 2007. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 8, 2007.