Individual
MA LOURDES JULIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1175 LUTHER DR, CROWN POINT, IN 46307-5054
(219) 663-3860
Mailing address
2313 FOLIAGE LN, DYER, IN 46311-1978
(219) 333-1402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05003806A
IN
2251G0304X
Geriatric Physical Therapist
Primary
05003806A
IN
Other
Enumeration date
10/15/2021
Last updated
05/19/2026
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