Jennifer L Stidham

NPI #1801292297 in Seymour, Indiana

Provider Information

NPI Number: 1801292297
Entity Type: Individual
Name: Jennifer L Stidham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Nov 12, 2014
Last Updated: Nov 12, 2014

Practice Location

Address: 1171 W TIPTON ST
Address 2: SUITE L
City: Seymour
State: Indiana
ZIP Code: 47274-2793
Phone: (812) 522-7007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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