Cobb, Jennifer E

Cobb, Jennifer E is an individual health care provider with primary practice located at 6040 Lute Rd , Portage IN 46368-5008. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Cobb, Jennifer E can be contacted via phone (219) 763-6858.

Contact Information

Primary practice address
6040 Lute Rd Portage IN 46368-5008
Phone: (219) 763-6858
Fax: (219) 763-4858
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 06003363A Indiana

Profile Details

NPI number 1609075514
LBN Legal business name Cobb, Jennifer E
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2007
Last updated Jul 12th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609075514 NPPES
Indiana Other 06003363A PTA

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