Individual
JACLYN MYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
LIFESPAN THERAPY, 118 MEDICAL DRIVE, CARMEL, IN 46032
(317) 573-1037
Mailing address
9113 HARRISON RUN PL, INDIANAPOLIS, IN 46256-1891
(317) 965-9295
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002208A
IN
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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