Individual
KELLY JO BAADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
8810 COLBY BLVD, INDIANAPOLIS, IN 46268-1399
(317) 872-4567
Mailing address
15869 RIVER BIRCH RD, WESTFIELD, IN 46074-9791
(419) 350-2475
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002229A
IN
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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