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Organization
INNOVATION THERAPY, LLC.
Active
Organization
INNOVATION THERAPY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADRIA BRIANNE HAWTHORNE MSOT, OTR (OWNER, OCCUPATIONAL THERAPIST)
(812) 254-2203
Entity
Organization
Contact information
Practice address
933 S STATE ROAD 57, WASHINGTON, IN 47501-4374
(812) 254-2203
Mailing address
7676 S 250 E, WASHINGTON, IN 47501-8031
(812) 698-0198
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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