Individual
MRS. DAWN MARIE PICARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AAS, MT
Contact information
Practice address
1203 WASHINGTON ST, LA PORTE, IN 46350-3221
(219) 326-2397
(219) 326-2697
Mailing address
6411 N 125 W, LA PORTE, IN 46350-8722
(219) 325-9992
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT20902462
IN
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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