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HENRICO MARC ENVERGA MADRID, BSPT

Active Sole Proprietor

HENRICO MARC ENVERGA MADRID, BSPT is a Physical Therapy Assistant healthcare provider located in RUSHVILLE, Indiana. NPI 1205172269 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · RUSHVILLE, IN

Registration Details

NPI Number
1205172269
Provider Type
Individual
Gender
Male
NPI Issued
Dec 19, 2012 (13.644625824981 yrs)
Last Updated
Dec 19, 2012
License
05008201A (IN)
Sole Proprietor
Yes

Practice Information

Address
904 E 11TH ST
RUSHVILLE, IN, 461731368
Browse IN providers · Browse ZIP 46173
Phone
7659322974
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in RUSHVILLE, IN

Name Credential NPI
MRS. TEODORA MANLANGIT ORDAS RPT 1396267969
SANKET NAIK 1902427800
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.