CARLI BUSHONG

LIGONIER, IN
NPI1144856816
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06004846A)
Enumeration Date2020-03-13
Last Update Date2020-11-02
Business Address
CARLI BUSHONG PTA
1464 LINCOLNWAY S
LIGONIER, IN 46767-9601
Phone number: 260-248-9966
Mailing Address
CARLI BUSHONG PTA
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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