Jill M Cain, OTR | |
4642 Crosby Buck Dr, Indianapolis, IN 46237-8758 | |
(812) 350-8648 | |
Not Available |
Full Name | Jill M Cain |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 4642 Crosby Buck Dr, Indianapolis, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376177535 | NPI | - | NPPES |
31006283A | Other | IN | OTR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 31006283A (Indiana) | Primary |
Provider Name | Anew Therapy & Wellness Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1225792534 PECOS PAC ID: 8123415312 Enrollment ID: O20220418000863 |
Mailing Address | Practice Location Address |
---|---|
Jill M Cain, OTR 4642 Crosby Buck Dr, Indianapolis, IN 46237-8758 Ph: (812) 350-8648 | Jill M Cain, OTR 4642 Crosby Buck Dr, Indianapolis, IN 46237-8758 Ph: (812) 350-8648 |
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