Individual
JENNIFER L MUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9112 ESTATES DR, DEMOTTE, IN 46310-9761
(219) 987-7753
Mailing address
9112 ESTATES DR, DEMOTTE, IN 46310-9761
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003114A
IN
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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