Jeremiah R Hines, PTA

NPI #1720611510 in Chesterton, Indiana

Provider Information

NPI Number
1720611510
Entity Type
Individual
Name
Jeremiah R Hines, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Feb 20, 2020
Last Updated
Feb 20, 2020

Practice Location

Address
2775 VILLAGE PT
State
Indiana
ZIP Code
46304-0099
Phone
(219) 304-6700

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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