Individual
MA CARLA MOSQUITE ORIENZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 S OAK ST, WINCHESTER, IN 47394-2229
(765) 584-2201
Mailing address
1501 N GAVIN ST, MUNCIE, IN 47303-3323
(812) 603-3162
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
05013689A
IN
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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