Individual
AUTUMN DAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3781 BAYLEY DR STE B, LAFAYETTE, IN 47905-8657
(765) 201-4767
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
Primary
31007959A
IN
Other
Enumeration date
04/03/2018
Last updated
01/16/2023
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