Individual
JASMINE DANTZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 CROSSLAKE DR STE B, EVANSVILLE, IN 47715-8272
(812) 476-0409
(812) 476-1016
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(726) 202-3039
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05015650A
IN
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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