Individual
MRS. TRISHA MUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4544 W 200 N, LEBANON, IN 46052-9556
(765) 894-6286
Mailing address
4544 W 200 N, LEBANON, IN 46052-9556
(765) 894-6286
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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