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Individual

LAURA MACKENZIE AUST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
1701 LIBRARY BLVD STE A, GREENWOOD, IN 46142-1567
(317) 881-9923
Mailing address
6206 MERIDIAN STREET WEST DR, INDIANAPOLIS, IN 46260-4238
(317) 697-2519

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006705A
IN

Other

Enumeration date
05/06/2019
Last updated
05/06/2019
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