Individual
CRISTINA M SOYAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
6040 LUTE RD, PORTAGE, IN 46368-5008
(219) 763-6858
(219) 763-4858
Mailing address
6393 FALLEN TIMBERS AVE, PORTAGE, IN 46368-3840
(219) 764-3432
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05003506A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05003506A
LPT
IN
Enumeration date
07/12/2007
Last updated
07/12/2007
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