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Individual

MRS. DARLA J LINGLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
3630 HICKORY RD, MISHAWAKA, IN 46545-8865
(574) 252-7225
Mailing address
401 W HARRISON ST, WAKARUSA, IN 46573-9583
(574) 862-2936

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05005273A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200728130
IN
Enumeration date
07/24/2007
Last updated
10/11/2022
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