Individual
MR. JACE BRANDON PINKSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2420 WILSON AVE, MADISON, IN 47250-2135
(812) 265-8226
Mailing address
606 MARLOWS FORD RD APT 101, LOUISVILLE, KY 40245-4767
(270) 957-6003
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
288914
KY
225X00000X
Occupational Therapist
Primary
31008247A
IN
Other
Enumeration date
11/02/2023
Last updated
11/07/2023
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