Individual
MS. JENISE ROBIN JANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR, CHT
Contact information
Practice address
201 PENNSYLVANIA PKWY, STE 100, INDIANAPOLIS, IN 46280-2301
(317) 817-1200
(317) 208-1551
Mailing address
201 PENNSYLVANIA PKWY, STE 100, INDIANAPOLIS, IN 46280-2301
(317) 817-1200
(317) 817-1551
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
31000479A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200035690
—
IN
Enumeration date
05/09/2007
Last updated
02/17/2011
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