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Individual

MS. JENNIFER MARIE GOMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
5281 PRIMROSE AVE, INDIANAPOLIS, IN 46220-3314
(317) 695-1124
Mailing address
5281 PRIMROSE AVE, INDIANAPOLIS, IN 46220-3314
(317) 695-1124

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003866A
IN

Other

Enumeration date
06/10/2009
Last updated
03/30/2014
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