Individual
JESSICA THERESE WHYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR
Contact information
Practice address
13485 CUMBERLAND RD, FISHERS, IN 46038-3602
(317) 594-4100
Mailing address
5942 W PORT DR, MCCORDSVILLE, IN 46055-9351
(616) 446-8848
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005432A
IN
Other
Enumeration date
02/07/2013
Last updated
02/15/2017
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