Individual
JORDAN NOEL LENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
6330 E 75TH ST STE 206, INDIANAPOLIS, IN 46250-2700
(317) 284-1166
Mailing address
6330 E 75TH ST STE 206, INDIANAPOLIS, IN 46250-2700
(317) 284-1166
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
99112260A
IN
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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