Individual
MAUREEN K PURCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
53880 CARMICHAEL DR, SOUTH BEND, IN 46635-1567
(574) 247-9441
(574) 247-9442
Mailing address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05003074A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000508800
ANTHEM BCBS
IN
05
—
200876260
—
IN
Enumeration date
08/16/2006
Last updated
01/20/2025
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