MR. Boitumelo John Edmund Mashala, P.T.A
NPI #1811301815 in Greencastle, Indiana
Provider Information
- NPI Number
- 1811301815
- Entity Type
- Individual
- Name
- MR. Boitumelo John Edmund Mashala, P.T.A
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- P.T.A
- Enumeration Date
- Jun 17, 2014
- Last Updated
- Jun 17, 2014
Practice Location
- Address
- 1150 CHESTNUT CT
- Address 2
- APT H
- City
- Greencastle
- State
- Indiana
- ZIP Code
- 46135-7309
- Phone
- (574) 596-1539
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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