Individual
CHRISTINA ANN MIZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
16036 BARRINGER CT, WESTFIELD, IN 46074-7652
(317) 694-9490
Mailing address
16036 BARRINGER CT, WESTFIELD, IN 46074-7652
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003366A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06003366A
STATE LICENSE
IN
Enumeration date
03/27/2019
Last updated
03/27/2019
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