Individual
MR. JUSTIN MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
255 MEADOW DR, DANVILLE, IN 46122-1415
(317) 745-5451
Mailing address
6297 CANAK DR, AVON, IN 46123-7435
(317) 837-9449
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05004610A
IN
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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