Individual
MRS. MANDY LYNN SHROCK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5214 S EAST STREET, BUILDING D STE 1 HTS OUTPATIENT THERAPY SERVICES, INDIANAPOLIS, IN 46227
(800) 486-4449
(317) 780-3745
Mailing address
5214 S EAST STREET, BUILDING D STE 1, INDIANAPOLIS, IN 46227
(800) 486-4449
(317) 780-3745
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001040A
IN
Other
Enumeration date
05/31/2006
Last updated
07/08/2007
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