Individual
MRS. JILL BYRER-BOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
545 W MOONGLO RD, SCOTTSBURG, IN 47170-7710
(812) 752-3499
Mailing address
1275 S WESTWOOD DR, SCOTTSBURG, IN 47170-6725
(812) 595-0760
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06000210
IN
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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