JOHNIE RAY STATON

GREENWOOD, IN
NPI1114665528
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05014558A)
Enumeration Date2022-05-25
Last Update Date2022-05-25
Business Address
JOHNIE RAY STATON PT
2091 RIDGEMERE WAY
GREENWOOD, IN 46143-9288
Phone number: 317-887-1600
Mailing Address
JOHNIE RAY STATON PT
2091 RIDGEMERE WAY
GREENWOOD, IN 46143-9288
Phone number: 317-887-1600
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