Individual
COURTNEY SOLIVAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8380 VIRGINIA ST, MERRILLVILLE, IN 46410-6231
(219) 769-9009
Mailing address
2579 DIANE ST, PORTAGE, IN 46368-2609
(219) 805-8449
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004711A
IN
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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