Individual
JEANNE LYNN TRUDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3801 OLD BRUCEVILLE RD, VINCENNES, IN 47591-3889
(812) 886-4677
Mailing address
3232 SE 3RD ST, DES MOINES, IA 50315-7710
(515) 274-9157
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
00450
IA
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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