Individual
HALEY KRODEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
675 3RD AVE, JASPER, IN 47546-3602
(812) 351-1490
Mailing address
675 3RD AVE, JASPER, IN 47546-3602
(812) 351-1490
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056-010042
IL
225X00000X
Occupational Therapist
31006133A
IN
Other
Enumeration date
03/12/2013
Last updated
04/12/2024
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