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Individual

JESUSA SALHIEH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
GENESIS REHAB BLOOM, KOKOMO, IN 46901
(317) 627-0723
Mailing address
2516 LORENTSON CT, KOKOMO, IN 46901-7089
(808) 646-0508

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
05008438A
IN
225100000X
Physical Therapist
Primary
05008438A
IN
225100000X
Physical Therapist

Other

Enumeration date
03/07/2007
Last updated
10/14/2020
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