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Individual

MRS. JENNIFER LYNN GENDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
707 S JACKSON PARK DR, SEYMOUR, IN 47274-2627
(812) 522-6049
(812) 522-6371
Mailing address
707 S JACKSON PARK DR, SEYMOUR, IN 47274-2627
(812) 522-6049
(812) 522-6371

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06001335A
IN

Other

Enumeration date
06/22/2010
Last updated
06/22/2010
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