Individual
JACQUELINE VAN OVERMEIREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5535 S WILLIAMSON BLVD, STE 774, PORT ORANGE, FL 32128-8311
(800) 330-7711
(866) 426-2811
Mailing address
3218 BLUEBELL LN, INDIANAPOLIS, IN 46224-2017
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005242A
IN
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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