Provider Demographics
NPI:1174858377
Name:OWINGS, JAIME O (OTR)
Entity Type:Individual
Prefix:MRS
First Name:JAIME
Middle Name:O
Last Name:OWINGS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12037 COLBARN DR
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-1339
Mailing Address - Country:US
Mailing Address - Phone:317-513-5109
Mailing Address - Fax:317-570-8944
Practice Address - Street 1:12037 COLBARN DR
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-1339
Practice Address - Country:US
Practice Address - Phone:317-513-5109
Practice Address - Fax:317-570-8944
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-06
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31002408A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist