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Individual

JESSICA A ESPENMILLER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
OTRL

Contact information

Practice address
1507 NORTH 1ST ST, INDIANOLA, IA 50125
(515) 961-7435
(515) 961-7436
Mailing address
PO BOX 461, NEVADA, IA 50201-0461
(515) 382-3366
(515) 382-1576

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01374
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06590
BCBS IND
IA
01
06594
BCBS ALTOMA
IA
01
06604
BCBS GR
IA
Enumeration date
04/26/2006
Last updated
07/08/2007
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