Individual
MRS. JACQUELINE MARIE OVERPECK
Active
Individual
MRS. JACQUELINE MARIE OVERPECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05008585A
IN
2251P0200X
Pediatric Physical Therapist
Primary
05008585A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200857980
—
IN
05
—
7100168390
—
KY
Enumeration date
04/10/2007
Last updated
09/13/2017
Update your record
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