Organization
DJKKM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ANN DOUGLAS OTRL (OCCUPATIONAL THERAPIST)
(812) 989-6349
Entity
Organization
Contact information
Practice address
3040 WOLF RIDGE CT, NEW ALBANY, IN 47150-9590
(812) 989-6349
Mailing address
3040 WOLF RIDGE CT, NEW ALBANY, IN 47150-9590
(812) 989-6349
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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