Individual
DANA WARMOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
6321 BALES DR, PLAINFIELD, IN 46168-8582
(217) 276-2500
(888) 972-8901
Mailing address
6321 BALES DR, PLAINFIELD, IN 46168-8582
(217) 276-2500
(888) 972-8901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-010812
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1532007
BCBS PPO #
IL
Enumeration date
04/11/2007
Last updated
12/29/2022
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