JESSICA ANNE BLACK

INDIANAPOLIS, IN
NPI1336102607
Former NameJESSICA GIAMMALVO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IN  31005917A)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: NC  5296)
225XH1200X Occupational Therapist, Hand
(Licence: NC  5296)
Enumeration Date2006-04-08
Last Update Date2016-04-07
Business Address
Mrs. JESSICA ANNE BLACK
9302 N MERIDIAN ST STE 190
INDIANAPOLIS, IN 46260-1818
Phone number: 317-843-1270
Mailing Address
Mrs. JESSICA ANNE BLACK
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223