Individual
MRS. KELLY JEANNE GIORDANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT PHYS THERAPIST
Contact information
Practice address
759 45TH AVE, SUITE 202, MUNSTER, IN 46321-2938
(219) 836-0193
(219) 836-2452
Mailing address
1040 SIERRA DR, STE 400, GREENWOOD, IN 46143-7241
(317) 865-8540
(317) 865-8317
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05001729A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000301026
BCBS OF IN
IN
05
—
200916810
—
IN
01
—
90000585
BCBS OF IL
IL
Enumeration date
09/07/2006
Last updated
03/05/2019
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