Individual
JESSICA BERNARDINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10000 COLUMBIA AVE, MUNSTER, IN 46321-4041
(219) 934-0750
Mailing address
830 HARRISON AVE, DYER, IN 46311-1001
(219) 805-0965
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005710A
IN
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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