Individual
LANCE TAPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
411 W TIPTON ST, SEYMOUR, IN 47274-2363
(812) 522-0177
Mailing address
411 W TIPTON ST, SEYMOUR, IN 47274-2363
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010838A
IN
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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