Individual
MRS. DONABELLE REYES ELISCUPIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10352 N 600 E, DEMOTTE, IN 46310
(219) 345-5211
Mailing address
7495 KESTRAL ST, HOBART, IN 46342-6950
(219) 947-1786
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007565A
IN
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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