Individual
JENNIFER MAUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11909 FAIRWAY CIRCLE SOUTH DR, INDIANAPOLIS, IN 46236-9790
(317) 823-2787
Mailing address
11909 FAIRWAY CIRCLE SOUTH DR, INDIANAPOLIS, IN 46236-9790
(317) 823-2787
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
05002692A
IN
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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