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Individual

KENYA D FOWLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7001 HOOVER RD, INDIANAPOLIS, IN 46260-4169
(317) 251-2261
Mailing address
6650 STANHOPE DR, INDIANAPOLIS, IN 46254-5838
(317) 374-5632

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002973A
IN

Other

Enumeration date
03/25/2026
Last updated
03/25/2026
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