Individual
MR. EARL SEMBRANO EVIDENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3500 MAPLE AVE, TERRE HAUTE, IN 47804-1732
(812) 238-6986
Mailing address
3500 MAPLE AVE, TERRE HAUTE, IN 47804-1732
(812) 238-6986
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007811A
IN
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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