Individual
LISA ROLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, CHT
Contact information
Practice address
426 S ALABAMA ST, INDIANAPOLIS, IN 46225-3301
(317) 528-6804
Mailing address
426 S ALABAMA ST, INDIANAPOLIS, IN 46225-3301
(317) 528-6804
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000124A
IN
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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