Individual
JESSIE CORTLANDT PARKULO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7507 MICHIGAN RD, INDIANAPOLIS, IN 46268-2321
(304) 312-7867
Mailing address
1718 EMERALD PINES LN, WESTFIELD, IN 46074-9147
(304) 312-7867
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006414A
IN
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
08/22/2017
Last updated
04/30/2021
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