Individual
JACQUELINE L ROMANESCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 E MICHIGAN BLVD, MICHIGAN CITY, IN 46360-3189
(219) 879-6115
Mailing address
184 BLACKTHORN DR, VALPARAISO, IN 46383-7847
(219) 617-7751
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003549A
IN
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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