# THERACARE

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

## Provider details

- **NPI number:** 1790051563
- **Authorized official:** MR. ERIC ROBERT BRYANT COTA (OCCUPATIONAL THERAPY ASSISTANT)
- **Authorized official phone:** (317) 757-9384

## Contact information

- **Practice address:** 5356 HOLLY SPRINGS CT, INDIANAPOLIS, IN 46254
- **Practice address phone:** (317) 757-9384
- **Mailing address:** 5356 HOLLY SPRINGS CT, INDIANAPOLIS, IN 46254-4284
- **Mailing address phone:** (317) 757-9384

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 32001792A | IN | Yes |

## Other

- **Enumeration date:** 03/27/2012
- **Last updated:** 03/27/2012