Individual
JENNIFER SLAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3710 FRANKLIN ST, MICHIGAN CITY, IN 46360
(219) 561-0828
Mailing address
3710 FRANKLIN ST, MICHIGAN CITY, IN 46360-7311
(219) 561-0828
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06006320A
IN
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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