Individual
JAIME LOUDENSLAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4625 S GARRISON CHAPEL RD, BLOOMINGTON, IN 47403-9763
(812) 340-6214
Mailing address
4625 S GARRISON CHAPEL RD, BLOOMINGTON, IN 47403-9763
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003396A
IN
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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