Individual
MISS JACQUELYN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2525 CHARLESTOWN RD, NEW ALBANY, IN 47150-2556
(812) 945-4063
(812) 941-5239
Mailing address
845 PARK PL, NEW ALBANY, IN 47150-2262
(812) 945-4063
(812) 941-5239
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003497A
IN
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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