Individual
JESSICA LASHAY WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 MEDICAL DR, CARMEL, IN 46032-3323
(812) 821-2798
Mailing address
592 LAURENS TURN, GOSPORT, IN 47433-9309
(812) 585-2198
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
342899
IN
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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