Individual
MS. MEICELL AMOR DACANAY DIAPANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
2350 TAFT ST, GARY, IN 46404-3349
(219) 977-2600
Mailing address
1204 W 84TH LN, MERRILLVILLE, IN 46410-6635
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007355A
IN
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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