STEFAN SHANE LAURRY

SOUTH BEND, IN
NPI1568338861
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  99133232A)
Enumeration Date2025-10-14
Last Update Date2025-10-14
Business Address
STEFAN SHANE LAURRY DPT
53880 CARMICHAEL DR
SOUTH BEND, IN 46635-1567
Phone number: 574-247-9441
Mailing Address
STEFAN SHANE LAURRY DPT
3600 W BETHEL AVE
MUNCIE, IN 47304-5407
Phone number: