Individual
LEANN HETRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
12800 MISSISSIPPI PKWY STE A102, CROWN POINT, IN 46307-6901
(219) 662-5781
Mailing address
12800 MISSISSIPPI PKWY STE A102, CROWN POINT, IN 46307-6901
(219) 662-5781
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008970A
IN
Other
Enumeration date
07/18/2017
Last updated
07/21/2022
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