Individual
MARY LOUISE VANNOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
438 W STOP 11 RD, INDIANAPOLIS, IN 46217-4265
(317) 889-8474
Mailing address
438 W STOP 11 RD, INDIANAPOLIS, IN 46217-4265
(317) 889-8474
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32000028A
IN
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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