Most Relevant Information
Provider Data
| NPI Number: | 1003275710 |
| Provider Name: | BETH VOORHIS PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 06002509A |
Most Important Dates
| Enumeration Date: | 02/23/2016 |
| Last Updated: | 02/23/2016 |
Provider Practice Location
250 W US HIGHWAY 12
BURNS HARBOR
IN
463049727
Practice Location Phone/Fax
| Phone: | 2197872120 |
| Fax: |
Provider Mailing Location
8259 WICKER AVE
SAINT JOHN
IN
463738878
Provider Mailing Phone/Fax
| Phone: | 2193656560 |
| Fax: | 2193656561 |