Individual
JAMIE CARMELA DAVID ANTONIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
6555 W 85TH PL, CROWN POINT, IN 46307-8151
(219) 365-8280
Mailing address
6555 W 85TH PL, CROWN POINT, IN 46307-8151
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008161A
IN
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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