Individual
MS. LISA MARIE RAINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ATR-BC
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-2772
Mailing address
2275 E 58TH ST, INDIANAPOLIS, IN 46220-2802
(317) 414-3646
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
—
—
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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