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Individual

JENNIFER N DISNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
1263 HOSPITAL DR NW, SUITE 250, CORYDON, IN 47112-2172
(812) 738-8136
(812) 738-3155
Mailing address
1263 HOSPITAL DR NW, SUITE 250, CORYDON, IN 47112-2172
(812) 738-8136
(812) 738-3155

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05004574
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200482180
IN
01
P00861448
RAILROAD MEDICARE
IN
Enumeration date
06/16/2005
Last updated
04/08/2011
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