Individual
JENNIFER SANDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11020 S COUNTY ROAD 600 W, DALEVILLE, IN 47334-9442
(765) 748-1634
Mailing address
11020 S COUNTY ROAD 600 W, DALEVILLE, IN 47334-9442
(765) 748-1634
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004810A
IN
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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