Individual
MUKESH MALHOTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
3746 ROME DR, LAFAYETTE, IN 47905-4489
(765) 448-8000
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31002120A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000723696
ARNETT CLINIC, LLC
IN
05
—
201033730
—
IN
Enumeration date
08/27/2009
Last updated
10/27/2011
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