Individual
MARY ANGELA DACANAY OLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2145 W FREDERICK DR, MARION, IN 46952-2360
(765) 427-2531
Mailing address
2145 W FREDERICK DR APT A, MARION, IN 46952-2360
(765) 427-2531
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
045603
NY
225100000X
Physical Therapist
Primary
05014950A
IN
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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