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Individual

ALEYSHA SLAVEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
5620 SOHL AVE, HAMMOND, IN 46320-2008
(219) 249-1212
Mailing address
8340 COTTAGE GROVE PL, HIGHLAND, IN 46322-1416
(219) 688-0500

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005735A
IN

Other

Enumeration date
06/29/2021
Last updated
06/29/2021
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