Individual
MS. JUDY LYNN SHOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
14020 NORTH COUNTY LINE ROAD, HEBRON, IN 46341
(219) 381-1339
Mailing address
14020 NORTH COUNTY LINE ROAD, HEBRON, IN 46341
(219) 381-1339
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002946A
IN
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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