Individual
JADE PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
257 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1563
(765) 463-2200
(765) 463-3625
Mailing address
PO BOX 4699, LAFAYETTE, IN 47903-4699
(765) 449-2732
(765) 449-1196
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056010329
IL
225X00000X
Occupational Therapist
Primary
31005590A
IN
Other
Enumeration date
01/11/2016
Last updated
05/08/2017
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