Individual
MRS. JULIE ANNE DAFFORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7301 E 16TH ST, INDIANAPOLIS, IN 46219-2308
(317) 353-1290
Mailing address
7301 E 16TH ST, INDIANAPOLIS, IN 46219-2308
(317) 353-1290
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003194A
IN
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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