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Individual

MRS. MELANIE HLISTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2775 VILLAGE PT, CHESTERTON, IN 46304-0099
(219) 928-8001
Mailing address
381 CONESTOGA DR, CHESTERTON, IN 46304-1559
(219) 928-8001

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002595A
IN

Other

Enumeration date
10/08/2020
Last updated
10/08/2020
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