Individual
MARY HAAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
2428 N WILLOW WAY, INDIANAPOLIS, IN 46268-1362
(317) 418-8558
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32003118A
IN
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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