Individual
SHANNON BODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 MEDICAL DR, CARMEL, IN 46032-3323
(419) 230-5970
Mailing address
1713 SHORTER DR, INDIANAPOLIS, IN 46214-2210
(419) 230-5970
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002322A
IN
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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