Individual
DR. ANN DEARDORFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
10192 N STATE ROAD 19, MACY, IN 46951-8042
(765) 437-3678
Mailing address
10192 N STATE ROAD 19, MACY, IN 46951-8042
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010729A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05010729A
PHYSICAL THERAPY LICENSE
IN
Enumeration date
07/15/2014
Last updated
07/15/2014
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