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Individual

SHAY LEE PERSOHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
651 S STATE ST, FRANKLIN, IN 46131-2552
(317) 736-6414
Mailing address
5048 CHOCTAW RIDGE DR, INDIANAPOLIS, IN 46239-7658
(812) 639-2727

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005468A
IN

Other

Enumeration date
01/26/2015
Last updated
02/16/2015
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