Jessica Elaine Umholtz, COTA Valid NPI
Individual provider · Occupational Therapy Assistant · West Lafayette, IN
- NPI
- 1245888486
- Type
- Individual (Type 1)
- Primary specialty
- Occupational Therapy Assistant
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 224Z00000X
- License number
- 32003104A (IN)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2019-08-30
- Last updated
- 2021-09-13
Practice location
307 Sagamore Pkwy W
West Lafayette, IN 47906-1500
(765) 463-2200