Individual
MAHESH SUBHASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
25 S BOEHNE CAMP RD, EVANSVILLE, IN 47712-3101
(812) 423-7468
Mailing address
6655 OAKLAND CT, NEWBURGH, IN 47630-9128
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
05010156A
IN
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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