Individual
MRS. LISA MARIE HOUCHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
8380 VIRGINIA ST, MERRILLVILLE, IN 46410-6231
(219) 769-9009
Mailing address
12363 RANDOLPH CT, CROWN POINT, IN 46307-8095
(219) 662-0043
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002691A
IN
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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