Individual
MERANDA DAWN MAKUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4100 COVERT AVE, EVANSVILLE, IN 47714-5559
(812) 437-6121
Mailing address
818 W IDLEWILD DR, EVANSVILLE, IN 47710-3145
(812) 401-1936
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002974A
IN
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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