Individual
JENNA SPEICHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 LAGUNA ST, KOKOMO, IN 46902-2330
(765) 457-8273
Mailing address
1220 LAGUNA ST, KOKOMO, IN 46902-2330
(765) 457-8273
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
31006349A
IN
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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