Individual
MR. JULIA ELAINE SISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
60 E SUMNER AVE, MARTINSVILLE, IN 46151-2139
(317) 840-4914
Mailing address
60 E SUMNER AVE, MARTINSVILLE, IN 46151-2139
(317) 840-4914
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002759A
IN
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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