Individual
MRS. JEANNINE MARIE DABERTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OCCUPATION THERAPY
Contact information
Practice address
1000 114TH ST, WHITING, IN 46394-1048
(219) 659-2770
Mailing address
1521 DAVIS AVE, WHITING, IN 46394-1129
(219) 659-1312
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000179A
IN
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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