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Individual

JENNA F LEMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
53880 CARMICHAEL DR, SOUTH BEND, IN 46635-1567
(574) 247-9441
Mailing address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
225XH1200X
Hand Occupational Therapist
Primary
31007605A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31007605A
STATE LICENSE
IN
Enumeration date
11/17/2021
Last updated
07/09/2025
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