Organization
STATELINE REGIONAL THERAPIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANA R HUNTINGTON (OWNER)
(513) 259-0906
Entity
Organization
Contact information
Practice address
630 LIBERTY AVE, WEST COLLEGE CORNER, IN 47003-9308
(513) 259-0906
(765) 732-4112
Mailing address
630 LIBERTY AVE, WEST COLLEGE CORNER, IN 47003-9308
(513) 259-0906
(765) 732-4112
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/29/2013
Last updated
04/29/2013
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