Individual
MISS KAY-YATTA MIRA HUGHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2279 MARSHALL PL, GARY, IN 46404-2925
(219) 944-2520
Mailing address
2279 MARSHALL PL, GARY, IN 46404-2925
(219) 944-2520
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003993A
IN
Other
Enumeration date
12/13/2009
Last updated
12/13/2009
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