Individual
MRS. JESSICA ANN SORDELET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1800 N WABASH RD, SUITE 200, MARION, IN 46952-1300
(765) 651-3229
Mailing address
9878 N SKYLINE DR, SYRACUSE, IN 46567-7859
(260) 715-1223
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001742A
IN
Other
Enumeration date
09/01/2009
Last updated
09/01/2009
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