Jolene Durham, P.T.A.

NPI #1477683415 in Ligonier, Indiana

Provider Information

NPI Number: 1477683415
Entity Type: Individual
Name: Jolene Durham, P.T.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: P.T.A.
Enumeration Date: Mar 7, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 254 WEST US 6
City: Ligonier
State: Indiana
ZIP Code: 46767
Phone: (260) 894-9909

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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