Individual
JENNIFER LOUISE FORKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
515 READ ST, EVANSVILLE, IN 47710-1739
(812) 437-1420
(812) 437-1425
Mailing address
PO BOX 922, EVANSVILLE, IN 47706-0922
(866) 309-5567
(812) 491-1269
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012963A
IN
Other
Enumeration date
07/06/2007
Last updated
08/10/2023
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