Individual
JACQUELINE DENISE MCGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 OLD BRUCEVILLE RD, VINCENNES, IN 47591-3889
(181) 288-6467
Mailing address
5259 CAROLINA ST, GARY, IN 46410-1542
(219) 887-0649
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003772A
IN
Other
Enumeration date
10/08/2008
Last updated
09/19/2012
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