JEREMY RANDAL SIMON

LOUISVILLE, KY
NPI1942552898
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IN  31004762A)
Enumeration Date2012-10-02
Last Update Date2012-10-02
Business Address
MR. JEREMY RANDAL SIMON MOT,OTR/L
303 N HURSTBOURNE PKWY SUITE 200
LOUISVILLE, KY 40222-5185
Phone number: 502-412-5847
Mailing Address
MR. JEREMY RANDAL SIMON MOT,OTR/L
26030 ARBOR LAKE DR
BATESVILLE, IN 47006-7427
Phone number: 812-932-0838