Individual
JASMINE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
114 N AVON AVE, AVON, IN 46123-8475
(317) 272-4100
Mailing address
6515 TAMPA LN, INDIANAPOLIS, IN 46241-7637
(224) 221-7628
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007079A
IN
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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