Individual
SAMUEL MOREHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 S CREASY LN, LAFAYETTE, IN 47905-4972
(765) 502-4000
Mailing address
1275 GUSHER WAY UNIT 302, LAFAYETTE, IN 47905-9020
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31008462A
IN
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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