Organization
MICHIANA PHYSICAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOAN SZYNAL (OWNER)
(574) 534-4648
Entity
Organization
Contact information
Practice address
1615 WINSTED DR, SUITE 3, GOSHEN, IN 46526-4696
(574) 534-4648
Mailing address
1615 WINSTED DR, SUITE 3, GOSHEN, IN 46526-4696
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200339920A
—
IN
Enumeration date
06/25/2006
Last updated
11/12/2014
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