Individual
MELISSA JUNE LICUPA PINEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1500 S MAIN ST, HOBART, IN 46342
(219) 947-6400
Mailing address
1079 S MAIN ST APT 137, CROWN POINT, IN 46307-4831
(574) 306-7683
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
05009769A
IN
171W00000X
Contractor
21483
MD
225100000X
Physical Therapist
Primary
05009769A
IN
Other
Enumeration date
02/11/2009
Last updated
03/10/2025
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