Individual
JULIE SODDY-GAMBLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
600 N JORDAN AVE, BLOOMINGTON, IN 47405-3190
(812) 855-8230
Mailing address
2112 S MONTCLAIR AVE, BLOOMINGTON, IN 47401-6814
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MT21204250
IN
Other
Enumeration date
10/31/2012
Last updated
10/31/2012
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