Individual
AMANDA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3177 MERIDIAN PARKE DR, GREENWOOD, IN 46142-9629
(317) 648-0732
Mailing address
5990 HOLLOW CT, BARGERSVILLE, IN 46106-8503
(317) 690-1396
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011215A
IN
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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