Individual
KELLY MICHELLE MAURER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1206 E NATIONAL AVE, BRAZIL, IN 47834-2718
(812) 442-2633
Mailing address
11682 N COUNTY ROAD 100 E, BRAZIL, IN 47834-7057
(812) 442-2635
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05002281A
IN
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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