Henrico Marc Enverga Madrid, BSPT

NPI #1205172269 in Rushville, Indiana

Provider Information

NPI Number: 1205172269
Entity Type: Individual
Name: Henrico Marc Enverga Madrid, BSPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: BSPT
Enumeration Date: Dec 19, 2012
Last Updated: Dec 19, 2012

Practice Location

Address: 904 E 11TH ST
City: Rushville
State: Indiana
ZIP Code: 46173-1368
Phone: (765) 932-2974

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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