Individual
KATE JACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5404 GEORGETOWN RD, INDIANAPOLIS, IN 46254
(765) 418-7544
Mailing address
1327 RIVER RIDGE DRIVE, BROWNSBURG, IN 46112
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005655A
IN
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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