JENNIFER C. DENNISTON

MISHAWAKA, IN
NPI1801080817
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06003249A)
Enumeration Date2007-09-03
Last Update Date2007-09-03
Business Address
-- JENNIFER C. DENNISTON PTA
530 TANGLEWOOD LN
MISHAWAKA, IN 46545-2627
Phone number: 574-271-7230
Mailing Address
-- JENNIFER C. DENNISTON PTA
2222 SULLIVAN TRL
EASTON, PA 18040-7958
Phone number: