Terria Conwell
Terria Conwell is a Durable Medical Equipment & Medical Supplies in Portage, Indiana. Practices as a sole proprietor. Licensed in Indiana.
- Licensed in
- IN
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
5835 Jessica AvePortage, IN 46368-1662
Phone: (219) 628-5672
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| In Home Supportive Care Agency (primary) | Taxonomy 253Z00000X (IN) |
|---|---|
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
Record details
| NPI number | 1982243408 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 1, 2020 |
| Last updated in NPPES | July 21, 2020 |
| Certification date | July 21, 2020 |
| Mailing address | 5835 Jessica Ave, Portage, IN 46368-1662 |
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Terria Conwell
5835 Jessica Ave, Portage, IN 46368-1662 · (219) 628-5672