Individual
MRS. JENNIFER WIDELL VETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., OCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05014443A
IN
225100000X
Physical Therapist
3577
OR
Other
Enumeration date
05/20/2008
Last updated
12/12/2024
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