Individual
MISS DANIELLE EKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1120 S CALUMET RD STE 3, CHESTERTON, IN 46304-3286
(219) 983-9675
Mailing address
1120 S CALUMET RD STE 3, CHESTERTON, IN 46304-3286
(219) 983-9675
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003228A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200812210
FIRST STEPS PROVIDER
IN
Enumeration date
11/01/2006
Last updated
04/08/2014
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