Individual
MR. DOUGLAS HERBERT MEHLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
14660 HERRIMAN BLVD STE 300, NOBLESVILLE, IN 46060-4869
(317) 774-7744
(317) 774-7755
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011593A
IN
225100000X
Physical Therapist
070002119
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201260400
—
IN
Enumeration date
03/31/2008
Last updated
11/26/2014
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