Individual
MS. JENNIFER WINGFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1201 CARSON WAY APT 142, GREENWOOD, IN 46143-2243
(317) 993-6401
Mailing address
1201 CARSON WAY APT 142, GREENWOOD, IN 46143-2243
(317) 993-6401
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002883A
IN
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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