Individual
KEVIN SISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3500 FRANCISCAN WAY, MICHIGAN CITY, IN 46360-0021
(219) 877-1613
Mailing address
2301 DOWLING ST, VALPARAISO, IN 46385-7830
(219) 510-2417
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012372A
IN
Other
Enumeration date
12/16/2018
Last updated
08/11/2022
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