Jessica Lenae Ledbetter, MS, OTR

Individual provider Active NPI Occupational Therapist · Sellersburg, IN

NPI 1710124243 · NPPES record last updated Jan 21, 2009

Key facts

NPI
1710124243
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
99033675A (IN)
Practice address
7823 Old State Road 60
Sellersburg, IN 47172-1858
Phone
(812) 246-4272
Fax
(812) 246-8160
NPI assigned
Jan 21, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
99033675AINMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 99033675A IN Yes

Addresses

Primary practice location

7823 Old State Road 60
Sellersburg, IN 47172-1858

Mailing address

6407 Night Sky Dr
Charlestown, IN 47111-8983

Other providers in Sellersburg, IN

All providers in Sellersburg, IN · Occupational Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.