VISA BAJE TAN

MERRILLVILLE, IN
NPI1801093422
Professional NameVISA TAN-GOYENA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05009079A)
Enumeration Date2007-06-28
Last Update Date2007-07-08
Business Address
-- VISA BAJE TAN PT
1968 W 86TH AVE APARTMENT S-524
MERRILLVILLE, IN 46410-8828
Phone number: 219-756-8846
Mailing Address
-- VISA BAJE TAN PT
1968 W 86TH AVE APARTMENT S-524
MERRILLVILLE, IN 46410-8828
Phone number:
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