Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | 06003050A | IN |
NPI | 1013150747 |
---|---|
Provider Name | Mrs. Kristen L Hochstetler |
First Address | Louisville, KY 40223-5002 |
Second Address | Goshen, IN 46526-6009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2009 |
Last Update Date | 10/04/2009 |