Individual
MANISH JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2741 N SALISBURY ST, WEST LAFAYETTE, IN 47906-1499
(765) 463-7546
Mailing address
3124 COVINGTON ST, WEST LAFAYETTE, IN 47906-1176
(317) 979-9028
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009789A
IN
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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