Individual
MARY ALICE NIEDENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, PT, PCS
Contact information
Practice address
768 GREENTREE RD, LAWRENCEBURG, IN 47025-7674
(513) 379-2898
(812) 539-4570
Mailing address
768 GREENTREE RD, LAWRENCEBURG, IN 47025-7674
(513) 379-2898
(812) 539-4570
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05006847A
IN
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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