Organization
TAILLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME A JOHANNES DPT (OWNER)
(812) 972-7744
Entity
Organization
Contact information
Practice address
3195 WHISPERING WOODS LANE, NEW SALISBURY, IN 47161
(812) 972-7744
(812) 972-7759
Mailing address
3195 WHISPERING WOODS LANE, NEW SALISBURY, IN 47161
(812) 972-7744
(812) 972-7759
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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