Individual
JACOB JEREMIAH GEMBARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
3154 S STATE ROAD 135, GREENWOOD, IN 46143-9609
(317) 535-3344
Mailing address
3154 S STATE ROAD 135, GREENWOOD, IN 46143-9609
(317) 535-3344
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32003870A
IN
Other
Enumeration date
05/22/2026
Last updated
05/22/2026
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