JENNITER LYNN BEOUGHER

FORT WAYNE, IN
NPI1912217126
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06003576A)
Enumeration Date2010-10-21
Last Update Date2021-08-23
Business Address
Ms. JENNITER LYNN BEOUGHER PTA
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
Mailing Address
Ms. JENNITER LYNN BEOUGHER PTA
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
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