Individual
JESSICA NICOLE BALBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8181 HARCOURT RD, INDIANAPOLIS, IN 46260-2598
(636) 212-1915
Mailing address
2140 W 86TH ST, INDIANAPOLIS, IN 46260-1904
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004650A
IN
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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