Individual
SHERA DOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
780 DICKINSON RD, CHESTERTON, IN 46304-3551
(219) 921-2200
Mailing address
4295 S 650 W, LA PORTE, IN 46350-9596
(574) 274-6020
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002900A
IN
Other
Enumeration date
04/23/2013
Last updated
04/23/2013
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