Individual
JACQUELINE FAULKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
520 S 7TH ST, PHYSICAL MEDICINE, VINCENNES, IN 47591-1038
(812) 885-3211
(812) 885-3217
Mailing address
520 S 7TH ST, PHYSICAL MEDICINE, VINCENNES, IN 47591-1038
(812) 885-3211
(812) 885-3217
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31001768A
IN
Other
Enumeration date
09/28/2007
Last updated
09/28/2007
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