Individual
DANIEL ALLEN MINIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 N WABASH RD, 203, MARION, IN 46952-1300
(765) 651-3229
Mailing address
7464 N 550 E, ROCHESTER, IN 46975-7484
(574) 223-4878
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
060004306A
IN
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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