Individual
MARIE DIANE SLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
282 JOHNSON STREET, GOSHEN, IN 46528-2746
(574) 213-6879
Mailing address
69406 CHRISTIANN CREEK DR, EDWARDSBURG, MI 49112-8732
(810) 288-4802
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05003003A
IN
Other
Enumeration date
11/06/2006
Last updated
02/02/2026
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