Individual
AMY KATHRYN HALLENIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
700 DICKINSON RD, CHESTERTON, IN 46304-3540
(219) 983-1300
Mailing address
818 N CALUMET RD, CHESTERTON, IN 46304-1506
(630) 352-6550
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
02/19/2022
Last updated
02/19/2022
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