Individual
MITESHKUMAR DEEPAKBHAI SONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
301 W ESSEX ST, LEBANON, IN 46052-1755
(765) 482-1950
Mailing address
2379 SHAKER LN, APT D, LEBANON, IN 46052-3162
(765) 337-1762
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010063A
IN
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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