Individual
MRS. SAVANNAH GEAN AXLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
251 STATE ROAD 66, NEW HARMONY, IN 47631
(812) 682-4104
Mailing address
1011 PINEHURST DR, MOUNT VERNON, IN 47620-8218
(812) 838-6770
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003296A
IN
225200000X
Physical Therapy Assistant
160.004789
IL
Other
Enumeration date
08/07/2008
Last updated
02/17/2012
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