Individual
MRS. JESSICA YVONNE BEAUDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1000 N 16TH ST, NEW CASTLE, IN 47362-4319
(765) 529-1449
Mailing address
1000 N 16TH ST, NEW CASTLE, IN 47362-4319
(765) 529-1449
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003764A
IN
Other
Enumeration date
05/05/2010
Last updated
05/05/2010
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