Individual
DR. GISOU BEHROUZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT., DPT
Contact information
Practice address
3801 OLD BRUCEVILLE RD, VINCENNES, IN 47591-3889
(812) 886-4677
(812) 886-4678
Mailing address
501 S BROOK AVE, MISHAWAKA, IN 46544-3405
(574) 850-8710
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05005665A
IN
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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