Individual
DIANE GALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2312 S DIXON RD, SUITE 250, KOKOMO, IN 46902-6401
(765) 455-2122
(765) 453-6643
Mailing address
829 N DIXON RD, KOKOMO, IN 46901-1795
(765) 455-2122
(765) 453-6643
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
IN009294
IN
Other
Enumeration date
05/14/2009
Last updated
05/14/2009
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