Individual
IRMA MAGNAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2320 MOSSY CRK, AVON, IN 46123-7230
(317) 272-2298
Mailing address
2320 MOSSY CRK, AVON, IN 46123-7230
(317) 272-2298
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05004292A
IN
Other
Enumeration date
12/13/2008
Last updated
12/13/2008
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