Individual
JENNIFER ANN BAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
8501 HARCOURT RD, INDIANAPOLIS, IN 46260-2046
(317) 875-9105
(317) 875-8638
Mailing address
11490 ALPHARETTA HWY 200, ROSWELL, GA 30076-3866
(770) 740-8592
(770) 752-9478
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003899A
IN
225XH1200X
Hand Occupational Therapist
31003899A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000384790
ANTHEM HEALTH PLAN
—
05
—
200544840
—
IN
01
—
P00703266
RR MEDICARE
IN
Enumeration date
09/15/2006
Last updated
09/07/2015
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