Individual
DANA MARIE DEKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
322 BELL OAKS, NEWBURGH, IN 47630
(812) 760-7007
Mailing address
2630 E MISSOURI ST, EVANSVILLE, IN 47711-4916
(812) 760-7007
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06001245A
IN
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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