Individual
JONATHAN HALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD, OTR
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 415-8111
Mailing address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 415-8111
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31008105A
IN
Other
Enumeration date
08/29/2025
Last updated
08/29/2025
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