Individual
DR. MARY GRACE WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR
Contact information
Practice address
1070 W JEFFERSON ST, FRANKLIN, IN 46131-2179
(317) 736-7185
Mailing address
5822 QUAIL ROOST CT, INDIANAPOLIS, IN 46237-2583
(502) 718-1266
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007833A
IN
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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