Individual
KATHLEEN R MCGUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
911 CRABAPPLE LN, VALPARAISO, IN 46383-9781
(219) 548-9288
(219) 548-9288
Mailing address
911 CRABAPPLE LN, VALPARAISO, IN 46383-9781
(219) 548-9288
(219) 548-9288
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
06002724A
IN
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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