KEN MACK

SOUTH BEND, IN
NPI1083926158
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06003673)
Enumeration Date2010-07-06
Last Update Date2010-07-06
Business Address
-- KEN MACK PTA
1005 N HICKORY RD
SOUTH BEND, IN 46615-3723
Phone number: 574-233-5754
Mailing Address
-- KEN MACK PTA
1005 N HICKORY RD
SOUTH BEND, IN 46615-3723
Phone number: 574-233-5754