# UNTAPPED - PEDIATRIC THERAPIES

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

## Provider details

- **NPI number:** 1457861361
- **Authorized official:** MRS. TIFFANY MARIE FRITZ OTR (OWNER/CEO/OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (317) 753-6962

## Contact information

- **Practice address:** 14194 STACEY ST, CARMEL, IN 46033-8720
- **Practice address phone:** (317) 753-6962
- **Mailing address:** 14194 STACEY ST, CARMEL, IN 46033-8720
- **Mailing address phone:** (317) 753-6962

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 31004103A | IN | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/05/2017
- **Last updated:** 10/05/2017