Individual
JOHN BAZZONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
605 N WALNUT ST, NORTH MANCHESTER, IN 46962-1857
(260) 982-1985
(260) 982-1994
Mailing address
605 N WALNUT ST, NORTH MANCHESTER, IN 46962-1857
(260) 982-1985
(260) 982-1994
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05006511A
IN
Other
Enumeration date
09/10/2017
Last updated
09/10/2017
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