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Individual

JESSICA LENAE LEDBETTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, OTR

Contact information

Practice address
7823 OLD STATE ROAD 60, SELLERSBURG, IN 47172-1858
(812) 246-4272
(812) 246-8160
Mailing address
6407 NIGHT SKY DR, CHARLESTOWN, IN 47111-8983

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
99033675A
IN

Other

Enumeration date
01/21/2009
Last updated
01/21/2009
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