WILLIAM MAHROUS ELGENDI

SAINT JOHN, IN
NPI1750546644
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05004004A)
Enumeration Date2008-07-21
Last Update Date2008-07-21
Business Address
-- WILLIAM MAHROUS ELGENDI rpt
11628 VENTURA DR
SAINT JOHN, IN 46373-9458
Phone number: 219-365-4561
Mailing Address
-- WILLIAM MAHROUS ELGENDI rpt
11628 VENTURA DR
SAINT JOHN, IN 46373-9458
Phone number: 219-365-4561
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