Individual
MARIA DOLORES SANTOS MENZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
13723 RAVENWOOD DR, GRANGER, IN 46530-4724
(574) 339-4082
Mailing address
13723 RAVENWOOD DR, GRANGER, IN 46530-4724
(574) 339-4082
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05006025A
IN
Other
Enumeration date
01/15/2010
Last updated
01/25/2016
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