Provider Demographics
NPI:1679694970
Name:ROWLAND, PHYLLIS OEHLER (PT,MS,PCS, C/NDT)
Entity type:Individual
Prefix:
First Name:PHYLLIS
Middle Name:OEHLER
Last Name:ROWLAND
Suffix:
Gender:F
Credentials:PT,MS,PCS, C/NDT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 DEPAUW BLVD STE 3070
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-6135
Mailing Address - Country:US
Mailing Address - Phone:855-324-0885
Mailing Address - Fax:317-520-8200
Practice Address - Street 1:2513 W 2ND ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IN
Practice Address - Zip Code:46952-3241
Practice Address - Country:US
Practice Address - Phone:765-662-0490
Practice Address - Fax:317-520-8200
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
IL0700025742251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics