Individual
JEREMY W WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
9302 N MERIDIAN ST, SUITE 190, INDIANAPOLIS, IN 46260-1873
(317) 843-1270
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010563A
IN
Other
Enumeration date
09/22/2011
Last updated
01/10/2012
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