Individual
MARANDA BIRMINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
777 S MAIN ST STE 500, CLINTON, IN 47842-3000
(765) 832-1233
Mailing address
3501 BUCKEYE ST, TERRE HAUTE, IN 47803-1151
(219) 286-5798
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
05015392A
IN
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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