Individual
MATTHEW SHAWN HAUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1567 MAPLE LN, NAPPANEE, IN 46550-2805
(574) 265-8921
Mailing address
1567 MAPLE LN, NAPPANEE, IN 46550-2805
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009055A
IN
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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