Individual
JESSICA JANE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9957 ALLISONVILLE RD, FISHERS, IN 46038-2006
(317) 496-1826
Mailing address
9957 ALLISONVILLE RD, FISHERS, IN 46038-2006
(317) 496-1826
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006825A
IN
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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