Individual
JEROME JAY ALIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
2536 W INDUSTRIAL PARK DR STE 11, BLOOMINGTON, IN 47404-2634
(812) 332-7529
Mailing address
2536 W INDUSTRIAL PARK DR STE 11, BLOOMINGTON, IN 47404-2634
(812) 332-7529
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004511A
IN
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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