Individual
JESSICA ECKROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3764 CREEKSIDE CT, COLUMBUS, IN 47203-8111
(631) 987-6152
Mailing address
3764 CREEKSIDE CT, COLUMBUS, IN 47203-8111
(631) 987-6152
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005175A
IN
Other
Enumeration date
01/12/2011
Last updated
10/06/2014
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