Individual
MRS. CONSTANCE JEANETTE WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6239 S EAST ST, BLDG, C STE A, INDIANAPOLIS, IN 46227-2090
(317) 791-9031
Mailing address
5344 N 400 W, MCCORDSVILLE, IN 46055-9723
(317) 696-4801
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32000195A
IN
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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