Individual
MRS. MIA BLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 HORNADAY RD, BROWNSBURG, IN 46112-1972
(317) 852-3123
Mailing address
10059 N COUNTY ROAD 75 E, LIZTON, IN 46149-9319
(317) 994-5533
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002720A
IN
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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