Most Relevant Information
Provider Data
| NPI Number: | 1003412198 |
| Provider Name: | DEEPAK GURUNG |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 05012564A |
Most Important Dates
| Enumeration Date: | 12/05/2020 |
| Last Updated: | 12/05/2020 |
Provider Practice Location
2200 W WHITE RIVER BLVD
MUNCIE
IN
473035242
Practice Location Phone/Fax
| Phone: | 5015137309 |
| Fax: |
Provider Mailing Location
405 S MORRISON RD APT 44
MUNCIE
IN
473044009
Provider Mailing Phone/Fax
| Phone: | 5015137309 |
| Fax: |