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Individual

JORDAN EVELYN WASSMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
4199 GATEWAY BLVD STE 3800, NEWBURGH, IN 47630-8940
(812) 842-2820
Mailing address
150 N ROSENBERGER AVE, EVANSVILLE, IN 47712-6503
(812) 476-7000

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
31006798AIN
IN

Other

Enumeration date
10/02/2019
Last updated
10/02/2019
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