Individual
MRS. JESSICA A UTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2119 E NATIONAL HWY, WASHINGTON, IN 47501-4507
(812) 254-3301
(812) 257-0039
Mailing address
2310 WESTBROOK BLVD, EVANSVILLE, IN 47720-1077
(812) 303-1444
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
99027003A
IN
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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