Individual
CEIL WINN UPCHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, OT/L
Contact information
Practice address
21 S PARK BLVD STE 21, GREENWOOD, IN 46143-8838
(317) 449-2104
(765) 454-9759
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(765) 454-9759
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003581A
IN
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
01/15/2009
Last updated
07/21/2022
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