Individual
AUDRA HIGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 LINDBERG RD, WEST LAFAYETTE, IN 47906-7317
(765) 464-5655
Mailing address
4028 DRUZE AVE, LAFAYETTE, IN 47909-8260
(765) 714-2558
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004929A
IN
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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