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Search › Indiana › 225200000X

Jennifer Southern, PTA

NPI 1790170884 · on the registry since 2015

Practice

Address
3008 Shawnee Dr S
Bedford, IN 47421
Phone
(812) 275-2468
Organisation at this address
Bedford Al, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-04-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana