# INNOVATION THERAPY, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124668892
- **Authorized official:** MRS. ADRIA BRIANNE HAWTHORNE MSOT, OTR (OWNER, OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (812) 254-2203

## Contact information

- **Practice address:** 933 S STATE ROAD 57, WASHINGTON, IN 47501-4374
- **Practice address phone:** (812) 254-2203
- **Mailing address:** 7676 S 250 E, WASHINGTON, IN 47501-8031
- **Mailing address phone:** (812) 698-0198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/10/2020
- **Last updated:** 01/10/2020