Individual
MRS. CANDICE J NEWBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6678 US HIGHWAY 6, PORTAGE, IN 46368-5117
(219) 762-0821
(219) 763-3637
Mailing address
50 NICHOLS ST, HEBRON, IN 46341-8774
(219) 996-5695
(219) 996-5635
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010441A
IN
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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