Individual
BAILEE CARESSE SEROCINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10833 BUNKER DR, DEMOTTE, IN 46310-9396
(219) 743-6799
Mailing address
10833 BUNKER DR, DEMOTTE, IN 46310-9396
(219) 743-6799
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004491A
IN
Other
Enumeration date
03/04/2013
Last updated
03/04/2013
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