Provider Demographics
NPI:1699048025
Name:ROANE, APRIL (PTA)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:ROANE
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8117 CENTER RUN DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-1945
Mailing Address - Country:US
Mailing Address - Phone:317-570-9205
Mailing Address - Fax:317-570-9206
Practice Address - Street 1:8117 CENTER RUN DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-1945
Practice Address - Country:US
Practice Address - Phone:317-570-9205
Practice Address - Fax:317-570-9206
Is Sole Proprietor?:No
Enumeration Date:2012-02-15
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN06004389A2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics