Individual
DR. STEPHANIE VAN SLYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
9783 E 116TH ST # 245, FISHERS, IN 46037-2822
(815) 278-2515
Mailing address
70 S 15TH ST, RICHMOND, IN 47374-5606
(815) 278-2515
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
31006739A
IN
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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