Individual
KELLY MARIE O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3640 CENTRAL AVE, INDIANAPOLIS, IN 46205-3569
(317) 744-0364
Mailing address
3640 CENTRAL AVE, INDIANAPOLIS, IN 46205-3569
(317) 744-0364
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32000035A
IN
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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