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Organization

T.O.T.S. LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DENA RAE TACKETT OTR (OCCUPATIONAL THERAPIST)
(317) 429-6555
Entity
Organization

Contact information

Practice address
11314 CROWS NEST, FISHERS, IN 46038-4627
(317) 429-6555
(866) 873-3708
Mailing address
11314 CROWS NEST, FISHERS, IN 46038-4627
(317) 429-6555
(866) 873-3708

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003880A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200468810
IN
Enumeration date
04/28/2008
Last updated
04/28/2008
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