Individual
MICHELLE JOY TUPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6685 E 117TH AVE, CROWN POINT, IN 46307-7808
(219) 663-6392
Mailing address
1330 HOLLY HOCK LN, SCHERERVILLE, IN 46375-1298
(219) 865-4939
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007261A
IN
Other
Enumeration date
07/22/2008
Last updated
07/23/2008
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