Individual
HERMETES CAPULONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
950 CROSS AVE, MADISON, IN 47250-2002
(812) 273-4640
Mailing address
950 CROSS AVE, MADISON, IN 47250-2002
(812) 273-4640
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008434A
IN
225100000X
Physical Therapist
2305205244
VA
Other
Enumeration date
12/16/2009
Last updated
12/16/2009
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