Individual
MALOURDES JULIANOTOPACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
353 TYLER ST, GARY, IN 46402-1149
(219) 886-7070
Mailing address
2313 FOLIAGE LN, DYER, IN 46311-1978
(219) 333-1402
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
05003806A
IN
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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