Individual
JESSICA ANDREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
221 DAY RD, MISHAWAKA, IN 46545-3457
(574) 256-9420
(574) 256-9465
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013565A
IN
Other
Enumeration date
09/17/2019
Last updated
05/21/2020
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