Individual
PRIYA SHUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407
(765) 213-3870
Mailing address
5605 N VISTA VIEW DR, MUNCIE, IN 47304-5914
(317) 412-5835
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004367A
IN
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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