Individual
JENNIFER COLASSACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 N HURSTBOURNE PKWY, SUITIE 200, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
126 ROOSEVELT DR, GREENFIELD, IN 46140-1865
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002238A
IN
Other
Enumeration date
11/09/2012
Last updated
11/09/2012
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