Bailee Caresse Serocinski PTA

NPI 1245571090 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1245571090
Gender Female
Enumeration Date 03/04/2013
Last Updated 03/04/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
10833 BUNKER DR
DEMOTTE IN, 46310-9396, US
Phone (219) 743-6799
Fax
Business Location
10833 BUNKER DR
DEMOTTE IN, 46310-9396, US
Phone (219) 743-6799
Fax
Toxanomy
Taxonomy Code 225200000X
License State Indiana
License Number 06004491A
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According to our database, Bailee Caresse Serocinski PTA NPI is 1245571090, taxonomy code is 225200000X and license number is 06004491A, license state is located at Indiana. Bailee Caresse Serocinski PTA physically located at 10833 Bunker Dr, Demotte IN, 46310-9396. NPI Number Bailee Caresse Serocinski PTA has the Individual type.

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1245571090 NPI number is provided on an as is basis without warranty of any kind. 1245571090 is maintained by the National Plan & Provider Enumeration System. The contents of Bailee Caresse Serocinski PTA are for informational purposes only.