JACOB CUNNINGHAM

PORTAGE, IN
NPI1912450560
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06004290A)
Enumeration Date2016-08-01
Last Update Date2016-08-01
Business Address
-- JACOB CUNNINGHAM
6459 US HIGHWAY 6
PORTAGE, IN 46368-5109
Phone number: 219-762-5592
Mailing Address
-- JACOB CUNNINGHAM
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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