Individual
KRISTIN ZAKUTANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6040 LUTE RD, PORTAGE, IN 46368-5008
(219) 763-6858
Mailing address
59 DIANA RD, PORTAGE, IN 46368-8715
(219) 763-0590
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05001362A
IN
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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