Individual
JOSHUA BLUELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
12800 MISSISSIPPI PKWY, SUITE A201, CROWN POINT, IN 46307-6900
(219) 921-1444
(219) 926-6926
Mailing address
8259 WICKER AVE, SAINT JOHN, IN 46373-8878
(219) 365-6560
(219) 365-6561
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004646A
IN
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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