NPI 1164199253

Wendy Madulin

Practitioner Physical Therapy Assistant Mishawaka, IN

Practice location

Address: 609 Tanglewood Ln, Mishawaka, IN 46545-2625
Phone: (574) 277-2500
Mailing address: 1315 E Dayton St, South Bend, IN 46613-3222

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 06005769A (IN)

Other Physical Therapy Assistant providers in Indiana →

Registry record

NPI: 1164199253
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Aug 2021
Record last updated: 26 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.