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Individual

JENNIFER S. SUBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P T

Contact information

Practice address
15109 DECLARATION DR, WESTFIELD, IN 46074-8080
(317) 414-6410
Mailing address
15109 DECLARATION DR, WESTFIELD, IN 46074-8080
(317) 414-6410

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007192A
IN

Other

Enumeration date
11/16/2015
Last updated
11/16/2015
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