Individual
MIRANDA DAWN PASSMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1100 REID PKWY, RICHMOND, IN 47374-1157
(765) 983-3092
Mailing address
1100 REID PKWY, RICHMOND, IN 47374-1157
(765) 983-3092
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009978A
IN
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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