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Individual

CHARLES J JANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.ED, OTR

Contact information

Practice address
3700 WASHINGTON AVE, EVANSVILLE, IN 47750-0001
(812) 485-5603
Mailing address
3700 WASHINGTON AVE, EVANSVILLE, IN 47750-0001
(812) 485-5603

Taxonomy

Speciality
Code
Description
License number
State
225XE1200X
Ergonomics Occupational Therapist
Primary
31000105A
IN

Other

Enumeration date
05/25/2007
Last updated
07/08/2007
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