Individual
MR. JEREMY M ENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1111 RONALD REAGAN PKWY, AVON, IN 46123-7085
(317) 217-3070
(317) 217-3073
Mailing address
1492 N COUNTY ROAD 425 E, AVON, IN 46123-9587
(317) 859-0620
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05006981A
IN
Other
Enumeration date
06/13/2008
Last updated
06/13/2008
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