Individual
JENNIE DIANE BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
24 TEKE BURTON DR, MITCHELL, IN 47446-7360
(812) 849-2221
Mailing address
9260 W COUNTY ROAD 490 S, FRENCH LICK, IN 47432-9384
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06001450A
IN
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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