Individual
JOSHUA JOHN CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
332 W 806 N, VALPARAISO, IN 46385-7973
(219) 764-4888
Mailing address
PO BOX 2385, PORTAGE, IN 46368-5885
(219) 764-4888
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004871A
IN
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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