Individual
JILL M CAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4642 CROSBY BUCK DR, INDIANAPOLIS, IN 46237-8758
(812) 350-8648
Mailing address
4642 CROSBY BUCK DR, INDIANAPOLIS, IN 46237-8758
(812) 350-8648
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006283A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31006283A
OTR
IN
Enumeration date
02/26/2020
Last updated
02/26/2020
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