Individual
JOHN MIHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,DPT
Contact information
Practice address
53880 CARMICHAEL DR, SOUTH BEND, IN 46635-1567
(574) 247-9441
Mailing address
53880 CARMICHAEL DR, SOUTH BEND, IN 46635-1567
(574) 247-9441
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
99039516A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200996010
—
IN
Enumeration date
11/02/2009
Last updated
04/11/2011
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