Individual
KELLY JO GRAMIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 ELI PL, NEWBURGH, IN 47630-7436
(812) 858-5300
Mailing address
1800 N WABASH RD, MARION, IN 46952-1300
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004675A
IN
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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