Individual
NICHOLAS SCOT GUMBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, PTA
Contact information
Practice address
5103 YODER RD, YODER, IN 46798-9525
(260) 515-3542
Mailing address
5103 YODER RD, YODER, IN 46798-9525
(260) 515-3542
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002951A
IN
Other
Enumeration date
10/15/2009
Last updated
10/15/2009
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