Individual
MARY LUMMA BEHRENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
15300 FOX RUN TRL, MISHAWAKA, IN 46545-1501
(574) 339-0337
(574) 406-8916
Mailing address
15300 FOX RUN TRL, MISHAWAKA, IN 46545-1501
(574) 339-0337
(574) 406-8916
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008456A
IN
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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