Individual
KAYLA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3230 RUE CHANEL, APT 162, INDIANAPOLIS, IN 46227
(812) 569-2628
Mailing address
3230 RUE CHANEL, APT 162, INDIANAPOLIS, IN 46227-6669
(812) 569-2628
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006039A
IN
247200000X
Other Technician
99069334A
IN
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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