Individual
DR. JEANETTE A SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
421 S 7TH ST, GOSHEN, IN 46526-3409
(574) 534-9308
Mailing address
421 S 7TH ST, GOSHEN, IN 46526-3409
(574) 534-9308
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05002722A
IN
Other
Enumeration date
10/25/2012
Last updated
10/26/2012
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