Individual
MR. NEIL ALLEN MULLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1603 CHASE RD, LOGANSPORT, IN 46947-1538
(574) 737-7404
(574) 737-7503
Mailing address
3220 E BROADWAY, LOGANSPORT, IN 46947-2106
(574) 753-2072
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05005695A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000184262
ANTHEM BLUE CROSS
IN
01
—
35178073
ALL OTHER INSURANCES
IN
Enumeration date
06/16/2005
Last updated
07/08/2007
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