Individual
MRS. JENNIFER MARIE LUSTER-BARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T
Contact information
Practice address
1628 W BEARDSLEY AVE, ELKHART, IN 46514-1881
(574) 293-9420
Mailing address
1628 W BEARDSLEY AVE, ELKHART, IN 46514-1881
(574) 293-9420
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008362A
IN
Other
Enumeration date
08/01/2007
Last updated
08/20/2007
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