Individual
JASON HEINRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
2137 16TH ST, BEDFORD, IN 47421-3003
(812) 275-5593
(812) 275-5624
Mailing address
2137 16TH ST, BEDFORD, IN 47421-3003
(812) 275-5593
(812) 275-5624
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003636A
IN
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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