Individual
JESSICA MAE HENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
9919 TOWNE RD, CARMEL, IN 46032-8260
(317) 872-4166
Mailing address
3705 SUMTER WAY, CARMEL, IN 46032-8639
(219) 776-2043
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011201A
IN
Other
Enumeration date
08/02/2013
Last updated
12/07/2022
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