# PATHWAYS NEURO REHABILITATION & EDUCATION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790421857
- **Authorized official:** JESSICA MILLER OTR (OWNER)
- **Authorized official phone:** (317) 296-4830

## Contact information

- **Practice address:** 6246 RIVINGTON DR, INDIANAPOLIS, IN 46236-8285
- **Practice address phone:** (317) 296-4830
- **Practice address fax:** (866) 352-2184
- **Mailing address:** 12125 E 65TH ST UNIT 36313, INDIANAPOLIS, IN 46236-4613

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/10/2022
- **Last updated:** 05/10/2022