Individual
MRS. JACALYNN MARIE SURMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3000 N STATE RD 135, GREENWOOD, IN 46143
(800) 777-7775
Mailing address
3000 N STATE RD 135, GREENWOOD, IN 46143
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007664A
IN
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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