Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 32000598A | IN |
NPI | 1013403732 |
---|---|
Provider Name | Valerie Doreen Jones |
First Address | Fishers, IN 46037-9659 |
Second Address | Carmel, IN 46032 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2018 |
Last Update Date | 05/07/2018 |