Individual
SARA KAY EICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOTR
Contact information
Practice address
6137 ROSSLYN AVE, INDIANAPOLIS, IN 46220-2020
(317) 979-4461
Mailing address
6137 ROSSLYN AVE, INDIANAPOLIS, IN 46220-2020
(317) 979-4461
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004406A
IN
Other
Enumeration date
02/17/2008
Last updated
02/17/2008
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