Individual
MARGARET MANDARICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 MEDICAL DR, CARMEL, IN 46032-2923
(317) 819-8155
Mailing address
118 MEDICAL DR, CARMEL, IN 46032-2923
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32003000A
IN
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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