JONATHAN WILLIAM BROYLES

LA PORTE, IN
NPI1578909297
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05010851A)
Enumeration Date2013-05-21
Last Update Date2013-05-21
Business Address
-- JONATHAN WILLIAM BROYLES PT
1007 LINCOLNWAY
LA PORTE, IN 46350-3201
Phone number: 219-326-2621
Mailing Address
-- JONATHAN WILLIAM BROYLES PT
0724 S 500 E
KNOX, IN 46534
Phone number: 219-326-2621
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