# 123OT, LLP

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

## Provider details

- **NPI number:** 1902438856
- **Authorized official:** STACI LEDET (COTA)
- **Authorized official phone:** (260) 243-1198

## Contact information

- **Practice address:** 10335 CORYDON CT, INDIANAPOLIS, IN 46239-9781
- **Practice address phone:** (317) 437-0848
- **Mailing address:** 10335 CORYDON CT, INDIANAPOLIS, IN 46239-9781

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224Z00000X | Occupational Therapy Assistant | — | NULL | — |
| 224Z00000X | Occupational Therapy Assistant | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 02/09/2020
- **Last updated:** 02/09/2020