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Individual

KALLI LETZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10700 PARK PL, SAINT JOHN, IN 46373-8666
(219) 351-5200
Mailing address
10700 PARK PL, SAINT JOHN, IN 46373-8666

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06006280A
IN
225200000X
Physical Therapy Assistant
160.007096
IL

Other

Enumeration date
07/30/2015
Last updated
11/12/2024
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