Individual
TREY MYCHAL ARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3700 WASHINGTON AVE, EVANSVILLE, IN 47714-0541
(812) 485-4000
Mailing address
3601 SWEETSER AVE, EVANSVILLE, IN 47714-5454
(812) 319-9003
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA49989
CA
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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