Individual
MRS. JOANN LEATHERS RAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
501 S MURPHY AVE, BRAZIL, IN 47834-8316
(812) 446-2636
Mailing address
4326 COUNTRY VIEW DR, FLOYDS KNOBS, IN 47119-9334
(812) 207-5963
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06000729
IN
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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