Individual
CRISELIZ MAGNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1800 N. WABASH AVE. SUITE 200, MARION, IN 46952
(765) 651-3229
(765) 651-3227
Mailing address
10450 NORTHERN DANCER DR, INDIANAPOLIS, IN 46234-9850
(317) 695-6126
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009299A
IN
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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