Individual
JESSICA LYNN HERSHBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR
Contact information
Practice address
12359 DIAMOND DRIVE, PLYMOUTH, IN 46563
(574) 248-5691
Mailing address
12359 DIAMOND DRIVE, PLYMOUTH, IN 46563
(574) 248-5691
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
31005805A
IN
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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