Individual
MISS REBECCA LYNN TUDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
55 WILLOW ST, NASHVILLE, IN 47448-7013
(812) 988-6666
Mailing address
118 MEDICAL DR, CARMEL, IN 46032-2923
(317) 573-1037
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004753A
IN
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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