Individual
MRS. CARLA JO PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
155 E BURKS DR, BLOOMINGTON, IN 47401-8459
(812) 332-4437
Mailing address
2714 H ST, BEDFORD, IN 47421-5126
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06000423A
IN
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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