Individual
MRS. GREGG-MARIE EMERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2600 MOREHOUSE AVE, ELKHART, IN 46517-2552
(574) 294-8500
Mailing address
53142 TWYCKENHAM DR, SOUTH BEND, IN 46637-4562
(574) 876-5588
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002828A
IN
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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