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Individual

MELINDA JOTOJOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2601 FERRY ST, LAFAYETTE, IN 47904-3061
(765) 448-8000
(765) 448-7615
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
(765) 448-8335

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008910A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PENDING
ANTHEM PROVIDER NUMBER
IN
05
PENDING
IN
Enumeration date
10/25/2007
Last updated
10/25/2007
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