Individual
MR. JEREMY RANDAL SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MOT,OTR/L
Contact information
Practice address
303 N HURSTBOURNE PKWY, SUITE 200, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
26030 ARBOR LAKE DR, BATESVILLE, IN 47006-7427
(812) 932-0838
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004762A
IN
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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