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Individual

MRS. CONSOLACION A BESARIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPT

Contact information

Practice address
3208 SAND WOOD DR, SOUTH BEND, IN 46628-6146
(574) 277-5593
Mailing address
3208 SAND WOOD DR, SOUTH BEND, IN 46628-6146
(574) 277-5593

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05003596A
IN

Other

Enumeration date
05/18/2012
Last updated
05/18/2012
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