Individual
PRADNYA BELOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
729 W 35TH ST, MARION, IN 46953-4215
(765) 674-3371
Mailing address
405 S MORRISON RD APT 312, MUNCIE, IN 47304-4036
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009181A
IN
Other
Enumeration date
11/26/2007
Last updated
11/26/2007
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