Individual
JENNA LEIGH LILLPOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., DPT
Contact information
Practice address
712 W 2ND ST, LEAVENWORTH, IN 47137-2264
(812) 738-2292
Mailing address
712 W 2ND ST, LEAVENWORTH, IN 47137-2264
(812) 738-2292
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009863A
IN
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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