Individual
DUSTINA AMMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1555 S MAIN ST, CROWN POINT, IN 46307-9492
(219) 323-8700
Mailing address
1555 S MAIN ST, CROWN POINT, IN 46307-9492
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011527A
IN
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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