Individual
HUMBERTO P NUNEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1800 N WABASH RD, MARION, IN 46952-1300
(765) 251-1003
Mailing address
2607 HUFFMAN ST, WINONA LAKE, IN 46590-2068
(574) 453-1532
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003627A
IN
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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