Individual
BETH SUZANNE PHALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
300 FAIRGROUNDS RD, TIPTON, IN 46072-8458
(765) 675-8791
Mailing address
112 1ST ST, TIPTON, IN 46072-1804
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05006861A
IN
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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