Individual
AILEEN M SY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
51738 SAGECREST DR, GRANGER, IN 46530-6887
(574) 339-5959
(574) 273-1137
Mailing address
51738 SAGECREST DR, GRANGER, IN 46530-6887
(574) 339-5959
(574) 273-1137
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007853A
IN
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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