Individual
JOAN SIDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 W GREEN MEADOWS DR, GREENFIELD, IN 46140-1014
(317) 462-3311
Mailing address
200 W GREEN MEADOWS DR, GREENFIELD, IN 46140-1014
(317) 462-3311
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
31004828A
IN
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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