Individual
JAIRUS MICHAEL STURGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSOTRL
Contact information
Practice address
6239 S EAST ST, INDIANAPOLIS, IN 46227-2090
(269) 599-2025
Mailing address
5537 FJORD DR APT E, INDIANAPOLIS, IN 46250-1100
(269) 599-2025
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005693A
IN
Other
Enumeration date
06/27/2014
Last updated
06/27/2014
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