Individual
MRS. JENNIFER VANDUYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
118 MEDICAL DR, CARMEL, IN 46032-2923
(765) 648-2526
Mailing address
118 MEDICAL DR, CARMEL, IN 46032-2923
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32003051A
IN
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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