TAMRA VENESHA GATES-JACKSON

MERRILLVILLE, IN
NPI1861049272
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06002957A)
Enumeration Date2019-08-20
Last Update Date2019-08-20
Business Address
TAMRA VENESHA GATES-JACKSON PTA
101 W 87TH AVE
MERRILLVILLE, IN 46410-6177
Phone number: 219-756-0744
Mailing Address
TAMRA VENESHA GATES-JACKSON PTA
1359 W 90TH AVE APT 201
MERRILLVILLE, IN 46410-6750
Phone number: 219-588-7238
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