Individual
ANITA M MEDRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2775 VILLAGE PT, CHESTERTON, IN 46304-0099
(877) 787-3430
Mailing address
3146 LAWRENCE ST, HOBART, IN 46342-1254
(219) 789-8191
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003642A
IN
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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