Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 31003473A | IN |
NPI | 1073726493 |
---|---|
Provider Name | Jill Esterle |
First Address | Fishers, IN 46037-9378 |
Second Address | Fishers, IN 46037-9378 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2007 |
Last Update Date | 08/07/2007 |