Individual
ALYCIA MARIE HOSTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7478 SHADELAND STATION WAY, INDIANAPOLIS, IN 46256-3925
(317) 288-7606
Mailing address
7478 SHADELAND STATION WAY, INDIANAPOLIS, IN 46256-3925
(317) 288-7606
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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