Individual
MS. JENNIFER MARIE SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7131 N MELVINA AVE, CHICAGO, IL 60646-1123
(937) 838-9319
Mailing address
7131 N MELVINA AVE, CHICAGO, IL 60646-1123
(937) 838-9319
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
05420
OH
225200000X
Physical Therapy Assistant
Primary
160004420
IL
Other
Enumeration date
04/03/2007
Last updated
02/24/2025
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