Individual
PATRICIA GAYLE CAREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
19661 CR 18, GOSHEN, IN 46528-6217
(260) 585-4367
(888) 835-8511
Mailing address
PO BOX 276, SHIPSHEWANA, IN 46565-0276
(260) 585-4367
(888) 835-8511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010107A
IN
225100000X
Physical Therapist
070-012668
IL
225100000X
Physical Therapist
070012668
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006032133
BCBSIL PROVIDER NUMBER
IL
Enumeration date
07/25/2006
Last updated
09/01/2010
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