Individual
HALIE MINARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2213 MAIN ST, HIGHLAND, IN 46322-3650
(219) 309-0349
Mailing address
8259 WICKER AVE, SAINT JOHN, IN 46373-8878
(740) 275-4480
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
99132441A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99132441A
LICENSE
IN
Enumeration date
11/13/2025
Last updated
11/13/2025
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