JOHN WILLIAM BLANK

LAFAYETTE, IN
NPI1932364734
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05008468A)
Enumeration Date2008-07-22
Last Update Date2008-07-22
Business Address
Mr. JOHN WILLIAM BLANK MPT
300 WINDY HILL DR
LAFAYETTE, IN 47905-2862
Phone number: 765-477-7791
Mailing Address
Mr. JOHN WILLIAM BLANK MPT
300 WINDY HILL DR
LAFAYETTE, IN 47905-2862
Phone number: 765-477-7791
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