Individual
PHILIP WAYNE DARGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5401 S WALNUT ST, MUNCIE, IN 47302-8778
(765) 749-8318
Mailing address
5401 S WALNUT ST, MUNCIE, IN 47302-8778
(765) 749-8318
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000151A
IN
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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