Individual
L.AUTUMN KERSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
545 W MOONGLO RD, SCOTTSBURG, IN 47170-7710
(812) 752-3499
Mailing address
2605 HEBRON CHURCH RD, HENRYVILLE, IN 47126-9021
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003670A
IN
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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