Individual
JAN MARLENE NEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2605 E CREEKS EDGE DR, BLOOMINGTON, IN 47401-8368
(812) 353-3343
(812) 353-3346
Mailing address
601 W 2ND ST, BLOOMINGTON, IN 47403-2317
(812) 353-5252
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05005059A
IN
Other
Enumeration date
11/15/2017
Last updated
04/10/2018
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