Individual
MS. LINA R EALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.C.B.A.
Contact information
Practice address
5856 CEDARSTONE COURT, INDIANAPOLIS, IN 46226
(317) 450-0795
(866) 612-2996
Mailing address
5856 CEDARSTONE COURT, INDIANAPOLIS, IN 46226
(317) 450-0795
(866) 612-2996
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/04/2006
Last updated
07/09/2007
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