Individual
RACHAEL LANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 S MURPHY AVE, BRAZIL, IN 47834-8316
(812) 442-0403
Mailing address
501 S MURPHY AVE, BRAZIL, IN 47834-8316
(812) 442-0403
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004449A
IN
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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