Individual
MICHELLE L SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4011 GATEWAY BLVD, NEWBURGH, IN 47630-8947
(812) 842-3770
Mailing address
4011 GATEWAY BLVD, NEWBURGH, IN 47630-8947
(812) 842-3770
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06001841A
IN
Other
Enumeration date
07/23/2009
Last updated
07/23/2009
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