MOLLY ANN BEAVANS

PONETO, IN
NPI1518114024
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06002756A)
Enumeration Date2008-08-26
Last Update Date2008-08-26
Business Address
Mrs. MOLLY ANN BEAVANS PTA
6823 S 200 W
PONETO, IN 46781-9704
Phone number: 765-728-3408
Mailing Address
Mrs. MOLLY ANN BEAVANS PTA
6823 S 200 W
PONETO, IN 46781-9704
Phone number: 765-728-3408
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