Individual
TEMPLE NOEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTS
Contact information
Practice address
5706 APPLEDOWN AVE, PORTAGE, IN 46368-3194
(219) 712-7175
Mailing address
5706 APPLEDOWN AVE, PORTAGE, IN 46368-3194
(219) 712-7175
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06001861A
IN
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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