Individual
JENNIFER ANN ONDERAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9800 LINCOLN AVE, NEWBURGH, IN 47630
(812) 746-7649
Mailing address
2191 SABLE WAY, NEWBURGH, IN 47630-8097
(812) 746-7649
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008656A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05008656A
INDIANA PROFESSIONAL LICENSING AGENCY
IN
Enumeration date
05/02/2018
Last updated
05/02/2018
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