Individual
LISA KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
251 HIGHWAY 66, NEW HARMONY, IN 47631-9075
(812) 682-4104
Mailing address
9168 S 450 W, OWENSVILLE, IN 47665-9125
(812) 202-1259
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003294A
IN
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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