St. Mary's Breast Center, LLC

NPI #1033520713 in Newburgh, Indiana

Provider Information

NPI Number: 1033520713
Entity Type: Organization
Organization Name: St. Mary's Breast Center, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: SETON HEALTH
Primary Specialty: Physical Therapist
Enumeration Date: May 15, 2014
Last Updated: Feb 8, 2017

Practice Location

Address: 100 ST MARYS EPWORTH XING STE A500
City: Newburgh
State: Indiana
ZIP Code: 47630-9698
Phone: (812) 485-4437

Authorized Official

Name: VICKIE DETROY
Title: DIRECTOR
Phone: (812) 471-1591

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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