Individual
JASON L ELENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407
(765) 213-3870
(765) 213-3888
Mailing address
7120 CLEARVISTA DR, SUITE 1500, INDIANAPOLIS, IN 46256-1621
(317) 621-9292
(317) 621-9299
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05005011A
IN
Other
Enumeration date
12/04/2006
Last updated
09/16/2008
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