Individual
MIRANDA MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1950 45TH ST STE 200, MUNSTER, IN 46321-3958
(219) 924-6544
Mailing address
9491 SHELBY LN, CROWN POINT, IN 46307-8643
(219) 798-0006
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005995A
IN
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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