Jennifer Diane Hayden, COTA

Individual provider Active NPI Occupational Therapy Assistant · Linton, IN

NPI 1659525384 · NPPES record last updated Nov 7, 2008

Key facts

NPI
1659525384
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
32001621A (IN)
Practice address
RR 2 Box 208
Linton, IN 47441-9664
Phone
(812) 847-9675
Fax
(812) 847-4708
NPI assigned
Nov 7, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
32001621AINMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 32001621A IN Yes

Addresses

Primary practice location

RR 2 Box 208
Linton, IN 47441-9664

Mailing address

RR 2 Box 208
Linton, IN 47441-9664
Phone (812) 847-9675

Other names

  • Jennifer Diane Conyers Former name

Other providers in Linton, IN

All providers in Linton, IN · Occupational Therapy Assistant in Indiana

Sources for this page

Verify at the official NPI Registry.