Individual
KERRY JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
118 MEDICAL DR, CARMEL, IN 46032-3323
(317) 844-4211
Mailing address
118 MEDICAL DR, CARMEL, IN 46032-3323
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002830A
IN
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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