Individual
MS. LYGEA A SAN PEDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1904 S 15TH ST, GOSHEN, IN 46526-4910
(574) 537-4022
Mailing address
13460 CEDAR CREEK HEIGHTS DR., MIDDLEBURY, IN 46540
(574) 825-8185
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05004629
IN
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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