Individual
LADEMA WELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
457 S STATE ROAD 145, FRENCH LICK, IN 47432-1036
(812) 936-9991
Mailing address
RR 5 BOX 395, LOOGOOTEE, IN 47553-9354
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002251A
IN
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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