Individual
GINGER DENISE BULTHAUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
501 N. MORRIS ST., FARMLAND, IN 47340-0094
(765) 468-6043
Mailing address
PO BOX 94, FARMLAND, IN 47340-0094
(765) 468-6043
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002646A
IN
Other
Enumeration date
05/11/2007
Last updated
11/29/2007
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