Individual
JENICA GIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1815 N CAPITOL AVE, SUITE 600, INDIANAPOLIS, IN 46202-1288
(317) 924-8636
Mailing address
10531 GREENWAY DR, FISHERS, IN 46037-9374
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001376A
IN
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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