Individual
WHITNEY MANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 W 57TH AVE, MERRILLVILLE, IN 46410-2535
(219) 629-6876
Mailing address
10820 PARK PL, SAINT JOHN, IN 46373-8630
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005321A
IN
225200000X
Physical Therapy Assistant
2160548
TX
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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