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Organization
UNTAPPED - PEDIATRIC THERAPIES
Active
Organization
UNTAPPED - PEDIATRIC THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY MARIE FRITZ OTR (OWNER/CEO/OCCUPATIONAL THERAPIST)
(317) 753-6962
Entity
Organization
Contact information
Practice address
14194 STACEY ST, CARMEL, IN 46033-8720
(317) 753-6962
Mailing address
14194 STACEY ST, CARMEL, IN 46033-8720
(317) 753-6962
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004103A
IN
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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