Individual
AMBER SHOTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6239 S EAST ST, INDIANAPOLIS, IN 46227-2090
(317) 791-9031
(317) 791-9001
Mailing address
146 SHAMROCK CIR APT 23, PENDLETON, IN 46064-8559
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32003326A
IN
Other
Enumeration date
06/08/2018
Last updated
12/14/2018
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