Lee, Jody Lee

Lee, Jody Lee is an individual health care provider with primary practice located at 8501 Harcourt Rd , Indianapolis IN 46260-2046. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand is her primary health care specialty. Lee, Jody Lee can be contacted via phone (317) 872-5101.

Contact Information

Primary practice address
8501 Harcourt Rd Indianapolis IN 46260-2046
Fax: (317) 875-9174
Website:

Profile Details

NPI number 1124212501
LBN Legal business name Lee, Jody Lee
Credentials MS, OTR
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2007
Last updated Dec 20th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124212501 NPPES
Indiana MEDICAID 200504740
Indiana Other 000000765889

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