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Individual

NAYAN TARA MIRCHANDANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS OTR

Contact information

Practice address
809 HOSPITAL RD, FRANKLIN, IN 46131-7699
(317) 738-6950
(317) 534-1034
Mailing address
809 HOSPITAL RD, PO BOX 466, FRANKLIN, IN 46131-7699
(317) 738-6950
(317) 534-1034

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000117A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100314180A
IN
05
200429410A
IN
01
200602000
RENDERING FS
IN
01
200701710A
FIRST STEPS
IN
Enumeration date
09/15/2006
Last updated
06/20/2014
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