Individual
JOY ALFONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 S STARDUST CIR, BLOOMINGTON, IN 47403-8707
(812) 369-5808
Mailing address
118 MEDICAL DR, CARMEL, IN 46032-2923
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05004065A
IN
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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