Individual
MRS. CHRISTINA DAWN SAULEY-KERNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
112 HOLT DR, MADISON, IN 47250-3873
(812) 599-1841
Mailing address
2506 POPLAR RIDGE LN, MADISON, IN 47250-2373
(812) 265-5353
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003032A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100291450A
—
IN
Enumeration date
08/30/2007
Last updated
03/10/2011
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