JILL LOUISE HAXTON

FORT WAYNE, IN
NPI1740445113
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IN  31000658A)
Enumeration Date2008-07-24
Last Update Date2012-10-28
Business Address
-- JILL LOUISE HAXTON
5407 VANCE AVE
FORT WAYNE, IN 46815-6154
Phone number: 260-494-8081
Mailing Address
-- JILL LOUISE HAXTON
5407 VANCE AVE
FORT WAYNE, IN 46815-6154
Phone number: 260-494-8081
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