Individual
JOANNE ELAINE BOUSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7215 E COUNTY ROAD 550 S, MUNCIE, IN 47302-9621
(765) 748-7884
Mailing address
7215 E COUNTY ROAD 550 S, MUNCIE, IN 47302-9621
(765) 748-7884
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002158A
IN
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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