Individual
MRS. JO ANN MICHELLE HARDCASTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
406 S 900 W 27, CONVERSE, IN 46919-9390
(765) 667-1647
Mailing address
406 S 900 W 27, CONVERSE, IN 46919-9390
(765) 667-1647
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005088A
IN
Other
Enumeration date
09/13/2015
Last updated
09/13/2015
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